Individual
JEAN RENE PIERRE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 DURSO AVE, MALDEN, MA 02148-3204
(954) 708-5866
(954) 708-5866
Mailing address
54 DURSO AVE # 54, MALDEN, MA 02148-3204
(954) 708-5866
(954) 708-5866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2998
PR
Other
Enumeration date
01/31/2026
Last updated
01/31/2026
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