Individual
JALYOUNG JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE # BAKER5, BOSTON, MA 02215
(617) 632-8930
Mailing address
330 BROOKLINE AVE # BAKER5, BOSTON, MA 02215-5491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT205945
PA
2084N0400X
Neurology Physician
MD463734
PA
2084N0600X
Clinical Neurophysiology Physician
Primary
274348
MA
Other
Enumeration date
07/06/2014
Last updated
04/15/2019
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