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Individual

DR. JONATHAN W WAKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
185 PILGRIM RD, BAKER 4, BOSTON, MA 02215-5324
(617) 667-7000
Mailing address
185 PILGRIM RD, BAKER 4, BOSTON, MA 02215-5324
(617) 667-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246563
MA
207RC0000X
Cardiovascular Disease Physician
246563
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
246563
MA

Other

Enumeration date
06/03/2008
Last updated
04/29/2015
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