Johan Hendrik Leonard Boneschansker, MD
Internal Medicine, Gastroenterology in Worcester, MA. Individual provider (NPI-1).
NPI number1124474028
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1124474028
- Entity type
- Individual (NPI-1)
- Name
- Johan Hendrik Leonard Boneschansker
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2016
- Certification date
- Jul 26, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 282680 | MA | Yes |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 508-334-3068
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885
Other practice locations
119 Belmont St
Worcester, MA 01605-2903
Worcester, MA 01605-2903
Phone 508-334-3068
157 Union St
Marlborough, MA 01752-1228
Marlborough, MA 01752-1228
Phone 508-334-3068
21 Eastern Ave
Worcester, MA 01605-3094
Worcester, MA 01605-3094
Phone 508-334-8036
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