Dr. Ronald W Mortara
Neurosurgeon
353 Woodward St
Waban
, Massachusetts 02468-2027
Dr. Ronald W Mortara
Neurosurgeon
353 Woodward St
Waban
, Massachusetts 02468-2027
(617) 964-1023
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Ronald W Mortara
- 353 Woodward St
- Waban, MA
- Zip : 02468-2027
- Fax : (617) 964-1023
- Phone : (617) 964-4341
Second Address
- Dr. Ronald W Mortara
- 353 Woodward St
- Waban, MA
- Zip : 02468-2027
- Fax : (617) 964-1023
- Phone : (617) 964-4341
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 45935 | MA |
National Provider Identifier
| NPI | 1013937069 |
|---|---|
| Provider Name | Dr. Ronald W Mortara |
| First Address | Waban, MA 02468-2027 |
| Second Address | Waban, MA 02468-2027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A54589 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.