Individual
JUAN L ASANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 NASHUA STREET, PHYSICAL MEDICINE AND REHABILITATION, BOSTON, MA 02114
(617) 573-2770
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
227101
MA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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