Individual
JOHN SOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 CLIFTON ST, BELMONT, MA 02478-3363
(617) 484-7847
Mailing address
8 CLIFTON ST, BELMONT, MA 02478-3363
(617) 484-7847
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
37735
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039826
—
MA
01
—
B11535
BLUE CROSS & BLUE SHIELD
—
Enumeration date
07/19/2007
Last updated
03/07/2023
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