Individual
DR. JONATHAN LIU WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN STREET, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT, BOSTON, MA 02114-3117
(617) 726-5189
(617) 726-0714
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
53427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053427
TUFTS HEALTH PLAN
MA
05
—
3040445
—
MA
01
—
J05834
BCBS MA
MA
Enumeration date
07/11/2006
Last updated
07/08/2007
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