Individual
JOEL M HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 ALBANY STREET, SUITE 304, BOSTON, MA 02118-2518
(617) 414-7063
(617) 414-5315
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
219886
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077060
—
MA
Enumeration date
08/01/2006
Last updated
06/04/2014
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