Individual
DR. JONATHAN M SPECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655-0002
(508) 856-3590
Mailing address
15 LEE ST, #5, CAMBRIDGE, MA 02139-2252
(617) 953-9471
(508) 334-5201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205520
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132233
—
MA
Enumeration date
12/06/2005
Last updated
07/08/2007
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