Individual
DR. JACOB GREGORY LUDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-2567
Mailing address
800 WASHINGTON ST # 115, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2018018657
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
05/06/2021
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