Individual
DR. JONATHAN THOMAS MEGERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
170 S MAIN ST, ORANGE, CA 92868-2801
(714) 288-7651
Mailing address
6 NANCYS WAY, LITTLETON, MA 01460-1439
(617) 293-9370
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
81401
MA
2084N0400X
Neurology Physician
81401
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
81401
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140652
—
MA
Enumeration date
06/01/2006
Last updated
07/06/2020
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