Individual
LILIAN P JOVENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1552
(617) 665-1925
Mailing address
1493 CAMBRIDGE STREET, MACHT BSMT, ROOM B13, CAMBRIDGE, MA 02139-1047
(617) 665-1000
(617) 665-1925
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
238573
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982621611
—
ME
05
—
3076409
—
NH
Enumeration date
07/17/2006
Last updated
11/01/2017
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