Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 257260 | MA |
Y | 213ES0000X | Sports Medicine | 257260 | MA |
NPI | 1023265311 |
---|---|
Provider Name | Dr. John-Paul David Hezel |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215-5400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2008 |
Last Update Date | 07/11/2017 |