Individual
DR. JONATHAN HILL CRONIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL NEW BORN SERVICE FND 442, BOSTON, MA 02114-2621
(617) 724-9040
(617) 726-9346
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55219
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
55219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055219
TUFTS HEALTH PLAN
MA
05
—
3013952
—
MA
01
—
J05222
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
05/21/2009
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