Individual
JASON MACBETH PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
439 S UNION ST UNIT 403, LAWRENCE, MA 01843-2837
(866) 610-2273
(617) 426-1311
Mailing address
439 S UNION ST UNIT 403, LAWRENCE, MA 01843-2837
(866) 610-2273
(617) 426-1311
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2290756
MA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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