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1154021822
DOMINIC ANTONIO CORTASSA
BOSTON, MA
NPI
1154021822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
DOMINIC ANTONIO CORTASSA
635 ALBANY ST
BOSTON, MA 02118-3550
Phone number: 617-358-8300
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Mailing Address
DOMINIC ANTONIO CORTASSA
300 HARRISON AVE # 2-545
BOSTON, MA 02118-2821
Phone number:
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