Colavincenzo, Bethany

Colavincenzo, Bethany is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Colavincenzo, Bethany can be contacted via phone (617) 714-4400.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 714-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1992942270
LBN Legal business name Colavincenzo, Bethany
Credentials ED.M
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2009
Last updated Jan 8th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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