Individual
DR. SANJAY JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118
(617) 638-6950
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
79208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3124347
—
MA
Enumeration date
12/13/2005
Last updated
04/27/2019
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