Individual
JORGE DE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Mailing address
34 HAVERHILL ST FL 3, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
293948
MA
Other
Enumeration date
06/07/2022
Last updated
08/21/2025
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