Individual
JONATHAN LUDMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114
(617) 724-1310
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199518
PA
207RC0000X
Cardiovascular Disease Physician
Primary
278150
MA
208000000X
Pediatrics Physician
MT199518
PA
Other
Enumeration date
06/06/2011
Last updated
05/31/2019
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