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1780054411
JONATHAN COVENEY
BOSTON, MA
NPI
1780054411
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MA PA5540)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- JONATHAN COVENEY PA-C
55 FRUIT ST WHITE 1
BOSTON, MA 02114-2621
Phone number: 617-724-4100
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Mailing Address
-- JONATHAN COVENEY PA-C
22 NOWELL RD
MELROSE, MA 02176-1217
Phone number: 781-307-0503
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