Individual provider · Type 1 NPI
Avital Angel Korman, MD
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1750837407
Active
Practice location
650 Albany St
Boston, MA 02118
Mailing address
11 John St
Brookline, MA 02446-3719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 268831 (MA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4 other providers at this address
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About NPI 1750837407
Avital Angel Korman, MD's National Provider Identifier is 1750837407, issued on Aug 31, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Sep 3, 2016.