Individual
JONATHAN DAVID ENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(603) 742-8787
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(603) 742-8787
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
261667
MA
207RH0003X
Hematology & Oncology Physician
016838
ME
207RH0003X
Hematology & Oncology Physician
Primary
261667
MA
207RH0003X
Hematology & Oncology Physician
33663
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102100000
—
ME
05
—
3083168
—
NH
Enumeration date
09/20/2006
Last updated
10/03/2024
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