Individual
JOHNNY SHELDON JARNAGIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(978) 420-9338
Mailing address
15 YALE ST UNIT A, MEDFORD, MA 02155-6029
(978) 420-9338
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1016958
MA
Other
Enumeration date
04/28/2019
Last updated
08/01/2024
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