Eldor, Jonathan

Eldor, Jonathan is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Eldor, Jonathan can be contacted via phone (617) 726-9591.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 726-9591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20712 New Hampshire
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 287517 Massachusetts

Profile Details

NPI number 1558620328
LBN Legal business name Eldor, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated Aug 8th, 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 1558620328 NPPES
New Hampshire MEDICAID 3125843

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