Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 273152 | MA |
N | 207RC0200X | Critical Care Medicine | 273152 | MA |
N | 2086S0127X | Trauma Surgeon | 273152 | MA |
NPI | 1003205956 |
---|---|
Provider Name | Dr. Paul Jansson |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2015 |
Last Update Date | 03/05/2021 |