Individual
DR. JESSE MAXWELL LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MACARTHUR RD, STONEHAM, MA 02180-3413
(781) 435-1705
Mailing address
120 MACARTHUR RD, STONEHAM, MA 02180-3413
(781) 435-1705
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
226046
MA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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