Individual
JIA LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-5301
(617) 632-5786
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-5301
(617) 632-5786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD181338
OR
207RX0202X
Medical Oncology Physician
Primary
287844
MA
Other
Enumeration date
03/29/2014
Last updated
12/17/2021
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