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Provider Information for 1992815708

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JOHN E MAYER JR. MD

Gender: MALE

Individual NPI: 1992815708

Calendar   Last Updated:  2008-06-18
  Certification Date: 

Details

Name Value
NPI 1992815708
Enumeration Date 2006-08-30
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE FA-144
BOSTON, MA 02115-5724
United States

Phone: 617-355-4104 | Fax: 617-730-0214
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FA-144
BOSTON, MA 02115-5724
United States

Phone: 617-355-8258 | Fax: 617-730-0214
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MA 6176763
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) MA 52467