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Individual

JAMES LOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2793
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52889
MA
2080P0202X
Pediatric Cardiology Physician
Primary
52889
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6179797
MA
05
JL03692
RI
Enumeration date
11/03/2005
Last updated
09/23/2016
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