Doctor Name: | JEFFREY G. BROOKS |
NPI Number: | 1588839252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 246530 |
Business Practice Address: | 88 E Newton St Boston, MA - 021182308 |
Business Phone Number: | 6176386610 |
Business Fax Number: | 6176386616 |
Mailing Address: | 720 Harrison Ave, Dob 503 BOSTON |
State: | MA |
Postal Code: | 021182371 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/24/2008 |
NPI Last Update Date: | 07/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 246530 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |