Individual
DR. JAY LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, BLAKE 4, BOSTON, MA 02114
(617) 724-6113
Mailing address
55 FRUIT STREET, BLAKE 4, BOSTON, MA 02114
(617) 724-6113
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L-247946
MA
390200000X
Student in an Organized Health Care Education/Training Program
4301090288
MI
Other
Enumeration date
07/19/2007
Last updated
07/31/2020
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