Individual
JAMES KENNETH VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON STREET, SUITE 365, NEWTON, MA 02462-1627
(617) 244-5355
(617) 244-8662
Mailing address
2000 WASHINGTON ST, SUITE 365, NEWTON, MA 02462-1627
(617) 244-5355
(617) 244-8662
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084228
—
MA
Enumeration date
06/23/2005
Last updated
06/11/2010
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