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Individual

JAMEL P ORTOLEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
266223
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
266223
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110116698A
MA
05
3141500
NH
Enumeration date
06/15/2012
Last updated
04/21/2026
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