Individual
MRS. SALVIA SANJAY JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(650) 224-0183
Mailing address
703 CHESTNUT ST, WABAN, MA 02468-2018
(650) 224-0183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229289
MA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
253456
MA
390200000X
Student in an Organized Health Care Education/Training Program
253456
NY
Other
Enumeration date
05/25/2007
Last updated
09/30/2021
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