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General NPI Number Information
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NPI Number | 1952548265
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Entity Type | Organization
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Legal Business Name | JJM MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1440 MAIN ST
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City | WALTHAM
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State | MA
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Zip | 02451-1631
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Country | US
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Telephone | 781-891-9300
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Fax | 617-440-2880
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Provider Business Mailing Address
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Address Line | PO BOX 986520 DEPARTMENT 310
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City | BOSTON
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State | MA
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Zip | 02298-6520
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Country | US
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Telephone | 207-784-2554
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Fax | 207-777-1439
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUAN J MALLARI
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Credential | MD
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Telephone | 617-455-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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