Individual
JASON JONATHAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 BROOKLINE AVE, BOSTON, MA 02215-5403
(617) 667-7000
Mailing address
586 WASHINGTON ST, APARTMENT 3, BROOKLINE, MA 02446-4560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
248786
MA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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