MEDICARE: DR. JONATHAN L HELD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	60554	MA

General Provider Information

NPI Number	:	1699767608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN L HELD M.D.

Provider Business Mailing Address
First Line	:	352 BURROUGHS RD
Second Line	:
City	:	BOXBORO
State	:	MA
Zip	:	01719-1916
Country	:	US
Telephone Number	:	978-263-7175
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 GROTON RD
Second Line	:	SUITE 180
City	:	AYER
State	:	MA
Zip	:	01432-1124
Country	:	US
Telephone Number	:	978-772-7221
Fax Number	:	978-772-5849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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