Individual
DR. THEJUS THAYYIL JAYAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(877) 442-3324
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(877) 442-3324
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
1019438
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2014
Last updated
09/22/2024
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