KOENRAAD MAX MORTELE

BOSTON, MA
NPI1942285986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  223120)
Enumeration Date2005-12-13
Last Update Date2007-07-08
Business Address
-- KOENRAAD MAX MORTELE
75 FRANCIS ST RADIOLOGY BRIGHAMT WOMENS HOSPITAL
BOSTON, MA 02115-6110
Phone number: 617-732-7624
Mailing Address
-- KOENRAAD MAX MORTELE
75 FRANCIS ST RADIOLOGY BRIGHAMT WOMENS HOSPITAL
BOSTON, MA 02115-6110
Phone number: 617-732-7624
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