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Individual

JOSE J. ACEVEDO MEJIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 HARRISON AVENUE, MOAKLEY, 3RD FLOOR, BOSTON, MA 02118
(617) 638-6428
(617) 638-5756
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
286363
MA
207RH0003X
Hematology & Oncology Physician
Primary
286363
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110108368A
MA
05
3129524
NH
Enumeration date
06/12/2015
Last updated
02/17/2022
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