Most Relevant Information
Provider Data
| NPI Number: | 1003278359 |
| Provider Name: | HERMAN ANTHONY CARNEIRO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2016 |
| Last Updated: | 05/09/2016 |
Provider Practice Location
725 ALBANY ST
SHAPIRO 5 & 6
BOSTON
MA
021182526
Practice Location Phone/Fax
| Phone: | 6174145951 |
| Fax: | 6174149251 |
Provider Mailing Location
725 ALBANY ST
SHAPIRO 5 & 6
BOSTON
MA
021182526
Provider Mailing Phone/Fax
| Phone: | 6174145951 |
| Fax: | 6174149251 |