Individual
AJU JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(929) 325-9361
Mailing address
150 CHESTNUT HILL AVE APT 104, BRIGHTON, MA 02135-4674
(929) 325-9361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285483
MA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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