Healthcare Provider Details
I. General information
NPI: 1962281923
Provider Name (Legal Business Name): ONDUO MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2023
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 CAUSEWAY ST STE 24A
BOSTON MA
02114-1315
US
IV. Provider business mailing address
100 CAUSEWAY ST STE 24A
BOSTON MA
02114-1315
US
V. Phone/Fax
- Phone: 508-589-1629
- Fax:
- Phone: 833-446-6386
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
VINDELL
WASHINGTON
Title or Position: CEO
Credential:
Phone: 508-589-1628