Individual
DR. JACKIE J LIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DEACONESS ROAD, RADIOLOGY DEPT., BIDMC, BOSTON, MA 02215
(617) 754-2519
(617) 754-2545
Mailing address
310 TWEEDSMUIR AVENUE, UNIT 320, TORONTO, ONTARIO 522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
66597
DC
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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