Individual
JAN OLIVER FRIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LONGWOOD AVE # 366.1, BOSTON, MA 02115-5724
(857) 204-0373
Mailing address
300 LONGWOOD AVE # 366.1, BOSTON, MA 02115-5724
(857) 204-0373
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
287878
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
287878
MA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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