Individual provider · NPI-1

Dr. John Ahern

Family Medicine · Cambridge, MA

NPI number1699397141
StatusActive
Last updated in NPPESMay 24, 2023

Details

NPI
1699397141
Entity type
Individual (NPI-1)
Name
Dr. John Ahern
Sex
Male
Sole proprietor
No
Enumeration date
May 7, 2020
Certification date
May 24, 2023
Last updated
May 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1014642MAYes
390200000X Student in an Organized Health Care Education/Training Program–MA

Practice location

163 Gore St
Cambridge, MA 02141-1119

Phone 617-665-3000

Mailing address

195 Canal St
Malden, MA 02148-6701

Other practice locations

195 Canal St
Malden, MA 02148-6701

Phone 781-338-0500

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