Individual
JONATHAN E. SLUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 724-4100
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
251158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098468A
—
MA
Enumeration date
03/22/2010
Last updated
07/19/2018
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