Individual
JUAN R CONDEMARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 BIGELOW ST, BRIGHTON, MA 02135-1639
(617) 254-4349
Mailing address
180 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9587
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
216179
MA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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