Individual
JEFFREY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
270861
MA
2080S0010X
Pediatric Sports Medicine Physician
Primary
270861
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270861
MASSACHUSETTS MEDICAL LICENSE
MA
Enumeration date
03/26/2014
Last updated
07/04/2023
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