Search › Massachusetts › 207XX0005X
Jonathan Vandale, PA-C
NPI 1154805281 · on the registry since 2018
Practice
- Address
- 60 Fenwood Rd Fl 2
Boston, MA 02115 - Phone
- (617) 732-5322
- Clinicians at this address
- 136
Registry record
- Primary taxonomy
- 207XX0005X
207XX0005X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-25
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