Individual
JONATHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2275 WASHINGTON ST, ROXBURY, MA 02119-3212
(617) 427-1763
(617) 427-5814
Mailing address
2275 WASHINGTON ST, ROXBURY, MA 02119-3212
(617) 427-1763
(617) 427-5814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21932
MA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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