Individual
DR. JONATHAN H OPPENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, SAINTS MEDICAL CENTER, LOWELL, MA 01852-1311
(978) 458-1411
Mailing address
1230 BRIDGE ST, LOWELL, MA 01850
(978) 453-3022
(978) 453-9330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3021033
—
MA
01
—
54197
TUFTS HEALTH
MA
Enumeration date
11/20/2006
Last updated
07/08/2007
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