Individual
DR. JONATHAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 CAMBRIDGE ST STE 810, BOSTON, MA 02114-2747
(617) 726-9591
Mailing address
55 FRUIT ST # 5-506, BOSTON, MA 02114-2696
(617) 643-2439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
279895
MA
2086S0102X
Surgical Critical Care Physician
279895
MA
2086S0127X
Trauma Surgery Physician
279895
MA
Other
Enumeration date
06/15/2012
Last updated
11/15/2021
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