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Jerryn Poothakary
NPI 1447093232 · on the registry since 2024 · sole proprietor
Practice
- Address
- 125 Park Dr Apt 27
Boston, MA 02215 - Phone
- (708) 890-0983
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-18
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