Individual
JONATHAN MAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(917) 886-4222
Mailing address
BWH, 75 FRANCIS STREET, BOSTON, MA 02115
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10401500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
263741
MA
Other
Enumeration date
06/24/2015
Last updated
05/22/2019
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