Individual
JASON C HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 STUART ST STE A7, BOSTON, MA 02116-5609
(617) 393-5059
Mailing address
14 CENTRAL AVE, MEDFORD, MA 02155-4075
(781) 812-5124
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
21453
MA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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