Organization
JASON OURADA MD PC
Active
Organization
JASON OURADA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D OURADA (OWNER)
(617) 309-7832
Entity
Organization
Contact information
Practice address
105 WEBSTER ST, UNIT 6, HANOVER, MA 02339-1227
(617) 309-7832
Mailing address
92 GLENELLEN RD, WEST ROXBURY, MA 02132-5108
(617) 309-7832
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
235245
MA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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