Individual
DR. JON J P WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, YAWKEY 3G, BOSTON, MA 02114-2696
(617) 724-7300
(617) 724-3846
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-7300
(617) 724-3846
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
54152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025489
—
MA
01
—
709388
TUFTS HEALTH PLAN
MA
01
—
J06646
BCBS MA
MA
Enumeration date
12/12/2005
Last updated
06/26/2014
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