Individual
DR. JEREMY GOVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRAY BIGELOW 1302, BOSTON, MA 02114-2696
(617) 726-3712
(617) 367-8936
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-3712
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
223980
MA
208600000X
Surgery Physician
223980
MA
2086S0102X
Surgical Critical Care Physician
Primary
223980
MA
Other
Enumeration date
10/28/2005
Last updated
04/23/2015
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