Individual
LOUIS M JURIST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
761 WORCESTER RD, 3RD FLOOR, FRAMINGHAM, MA 01701-5224
(508) 872-7881
(508) 872-9545
Mailing address
460 TOTTEN POND RD, C/O MZI, WALTHAM, MA 02451-1906
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
50736
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050736
TUFTS
MA
01
—
17459
HPHC
MA
05
—
2097222
—
MA
01
—
J01045
BCBS
MA
Enumeration date
11/15/2005
Last updated
07/08/2007
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