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Individual

JEFFREY G. BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
88 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-6610
(617) 638-6616
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
246530
MA
2085R0202X
Diagnostic Radiology Physician
Primary
246530
MA
2085R0202X
Diagnostic Radiology Physician
326782
NY
2085R0202X
Diagnostic Radiology Physician
MD18576
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD18576
RI LICENSE
RI
Enumeration date
04/24/2008
Last updated
04/27/2026
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