Individual
DR. JONATHAN WALDSTREICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, DEPT OF SURGERY, BOSTON, MA 02111-1552
(203) 249-3078
Mailing address
800 WASHINGTON ST, DEPT OF SURGERY, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
244528
MA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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