Search › Massachusetts › 103TC1900X
Jonathan Entis, PH.D
NPI 1053773150 · on the registry since 2016 · sole proprietor
Practice
- Address
- 240 Concord Ave
Cambridge, MA 02138 - Phone
- (617) 702-2733
- Clinicians at this address
- 12
Additional practice sites
- 2294 Massachusetts Ave, Cambridge, MA
- 2294 Massachusetts Ave, Cambridge, MA
- 1493 Cambridge St, Cambridge, MA
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 103TP2701X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts