Individual
JAH AUGUSTUS MCLERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
690 CANTON ST # 204, WESTWOOD, MA 02090-2321
(339) 204-9516
(781) 459-4698
Mailing address
310 CONCORD AVE, CAMBRIDGE, MA 02138-1208
(508) 523-9205
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN274043
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN274043
MA
Other
Enumeration date
12/27/2019
Last updated
05/20/2020
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