Individual
DR. JONATHAN JAMES PASSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 5A, BOSTON, MA 02114-2621
(617) 726-2066
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 643-7022
(617) 643-3963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216539
MA
207RC0000X
Cardiovascular Disease Physician
Primary
216539
MA
Other
Enumeration date
11/11/2005
Last updated
07/18/2012
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