Individual
JONATHAN KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 793-6936
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55522
MA
207RR0500X
Rheumatology Physician
Primary
55522
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110046826A
—
MA
01
—
722664
TUFTS HEALTH PLAN
MA
01
—
J08297
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
11/17/2020
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