Individual
JONATHAN M GAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE # 208, BOSTON, MA 02115-5724
(617) 355-6953
Mailing address
300 LONGWOOD AVE # 208, BOSTON, MA 02115-5724
(617) 355-6953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
240274
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
240274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231380
MASSACHUSETTS
MA
Enumeration date
07/26/2007
Last updated
09/26/2011
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