Individual
JASON LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
800 WASHINGTON STREET, BOX 7105, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Mailing address
800 WASHINGTON STREET, BOX 7105 TUFTS MEDICAL CENTER, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A97633
CO
2080P0207X
Pediatric Hematology & Oncology Physician
A97633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A97633
CA MEDICAL LICENSE
CA
Enumeration date
04/13/2007
Last updated
09/08/2011
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