Individual
DR. JORGE R LUJAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY STREET, FL 3 STE 3, SHAPIRO BLDG., BOSTON, MA 02118
(617) 638-8419
(617) 414-0201
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
279398
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
279398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119188A
—
MA
05
—
3141558
—
NH
Enumeration date
03/23/2016
Last updated
06/16/2025
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