Pace, Jonathan Robert

Pace, Jonathan Robert is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-4756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Pace, Jonathan Robert can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-4756
Phone: (781) 744-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X T1015902 Massachusetts
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD470160 Pennsylvania

Profile Details

NPI number 1477997971
LBN Legal business name Pace, Jonathan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2013
Last updated Apr 10th, 2023 - about 2 years ago

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 1477997971 NPPES
Pennsylvania MEDICAID 103773923
Pennsylvania Other 14673852

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