Individual
JONATHAN D HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO,MPH
Contact information
Practice address
5 MIDDLESEX AVE, SOMERVILLE, MA 02145-1102
(617) 591-4660
Mailing address
5 MIDDLESEX AVE, SOMERVILLE, MA 02145-1102
(617) 591-4660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76754
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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