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Individual

DR. JOHN G MEARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 LONGWOOD AVE, HU-158, BOSTON, MA 02115-5724
(617) 355-7384
(617) 738-1657
Mailing address
300 LONGWOOD AVE, HU-158, BOSTON, MA 02115-5724
(508) 946-1665
(508) 947-1293

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
18397
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
80107
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2126231
MA
Enumeration date
09/14/2006
Last updated
10/21/2008
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