Individual
MR. VIVEK JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(781) 216-0184
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(176) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190960
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
288517
MA
Other
Enumeration date
08/06/2007
Last updated
11/19/2021
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