Individual
JUAN C VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 ASHMONT ST, DORCHESTER CENTER, MA 02124-3802
(618) 825-7333
(617) 738-1450
Mailing address
212 ASHMONT ST, DORCHESTER CENTER, MA 02124-3802
(618) 825-7333
(617) 738-1450
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
42125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102458
—
MA
Enumeration date
10/12/2006
Last updated
02/25/2016
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