Anderson, Jonathan S.

Anderson, Jonathan S. is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Jonathan S. can be contacted via phone (617) 754-5300.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 754-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 242842 Massachusetts

Profile Details

NPI number 1205073111
LBN Legal business name Anderson, Jonathan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2009
Last updated Jun 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205073111 NPPES
Massachusetts MEDICAID 110085269A

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