Individual
DR. JASON IMPERATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5025
(617) 864-0085
Mailing address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5025
(617) 864-0085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
216618
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035481
—
MA
Enumeration date
08/31/2005
Last updated
12/18/2009
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