Individual
JERONIMO JUNQUEIRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 E CONCORD ST, EVANS 124, BOSTON, MA 02118
(617) 638-8000
Mailing address
100 RIVERS EDGE DR, APT 403, MEDFORD, MA 02155-5460
(617) 697-8531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
237680
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2008
Last updated
11/28/2012
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