Individual provider · Type 1 NPI

Max Sebastian Riley

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1992293401 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-2803 Map

Mailing address

5577 Lindell Blvd
St. Louis, MO 63112-1015

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1992293401

Max Sebastian Riley's National Provider Identifier is 1992293401, issued on Apr 30, 2018. 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 Apr 30, 2018.