Whalio Doctors

NPI 1083894059

Juan R Condemarin, MD

Practitioner Addiction Psychiatry Physician Brighton, MA

Practice location

Address
129 Bigelow St, Brighton, MA 02135-1639
Phone
(617) 254-4349
Mailing address
180 Morton St, Jamaica Plain, MA 02130-3735

Registered specialties

Addiction Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0802X Licence 216179 (MA)

Registry record

NPI
1083894059
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Nov 2007
Record last updated
7 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.