Individual
RON MEDZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118-2908
(617) 414-5481
(617) 414-7759
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
152728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110058559A
—
MA
01
—
764662
TUFTS
MA
01
—
J17574
BCBS
MA
Enumeration date
02/09/2006
Last updated
05/07/2014
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