Individual
JASON FRANGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
253130
MA
390200000X
Student in an Organized Health Care Education/Training Program
241431
MA
Other
Enumeration date
06/25/2009
Last updated
04/25/2014
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