| Doctor Name: | MS. ELLEN KURTZ |
| NPI Number: | 1043354715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 99821 |
| Business Practice Address: | 1 Research Dr Suite 120c Westborough, MA - 015813922 |
| Business Phone Number: | 5086605900 |
| Business Fax Number: | 5086689152 |
| Mailing Address: | 15 Chestnut Rd, NORFOLK |
| State: | MA |
| Postal Code: | 020561513 |
| Phone Number: | 5086605900 |
| Fax Number: | 5086689152 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 99821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |