Individual
JEFF LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BUL-015, BOSTON, MA 02114-2621
(617) 724-3874
(617) 643-1781
Mailing address
55 FRUIT ST, BUL-015, BOSTON, MA 02114-2621
(617) 724-3874
(617) 643-1781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A130276
CA
Other
Enumeration date
05/13/2013
Last updated
03/17/2015
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