Individual
DR. JUSTIN P ZACHARIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7893
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229722
MA
2080P0202X
Pediatric Cardiology Physician
229722
MA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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