JONATHAN VANDALE

BOSTON, MA
NPI1154805281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: MA  PA6762)
Enumeration Date2018-09-25
Last Update Date2018-09-25
Business Address
JONATHAN VANDALE PA-C
60 FENWOOD RD FL 2
BOSTON, MA 02115-6128
Phone number: 617-732-5322
Mailing Address
JONATHAN VANDALE PA-C
831 E 2ND ST # 2
SOUTH BOSTON, MA 02127-2333
Phone number: 413-262-9376
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