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Jason Lew, DO

Physical Medicine & Rehabilitation in Boston, MA. Individual provider (NPI-1).

NPI number1669935375
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1669935375
Entity type
Individual (NPI-1)
Name
Jason Lew
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 9, 2019
Certification date
Jun 24, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation1019690MAYes
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine1019690MA

Practice location

55 Fruit St
Boston, MA 02114-2621

Phone 617-952-5000

Mailing address

300 1st Ave
Charlestown, MA 02129-3109

Phone 805-714-7935

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