Individual provider · NPI-1

Jared Mark Alswang, MD

Internal Medicine · Newton, MA

NPI number1861244568
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1861244568
Entity type
Individual (NPI-1)
Name
Jared Mark Alswang
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 4, 2024
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine3016892MAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2014 Washington St
Newton, MA 02462-1607

Phone 617-243-6701 · Fax 617-243-6467

Mailing address

2014 Washington St
Newton, MA 02462-1607

Phone 617-243-6701 · Fax 617-243-6467

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