Individual
DR. JASON ZHENSHENG QU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, DACCPM, BOSTON, MA 02114-2621
(617) 726-6382
(617) 726-7536
Mailing address
55 FRUIT ST, MASS GENERAL PHYSICIAN ORGANIZATION, BOSTON, MA 02114-2621
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
203631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149331
—
MA
01
—
203631
TUFTS HEALTH PLAN
MA
01
—
J23388
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
12/10/2014
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