Individual
JONATHAN PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-8787
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
22815
NH
207RH0003X
Hematology & Oncology Physician
MD26071
ME
207RH0003X
Hematology & Oncology Physician
MD61686505
WA
207RX0202X
Medical Oncology Physician
22815
NH
Other
Enumeration date
04/04/2016
Last updated
01/09/2026
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