John V. Pruitt III M.D.

NPI 1063562320 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063562320
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
STE 400
BOSTON MA, 02111-1307, US
Phone (617) 357-5542
Fax (617) 357-5646
Business Location
BOSTON MA, 02118-3727, US
Phone (617) 536-1537
Fax (617) 357-5542
Taxonomy Code 2084P0800X
License State Massachusetts
License Number 44820
Remove 1063562320 NPI Number

According to our database, Dr. John V. Pruitt III M.D. NPI is 1063562320, taxonomy code is 2084P0800X and license number is 44820, license state is located at Massachusetts. John V. Pruitt III M.D. physically located at 59 Temple Pl, Boston MA, 02111-1307. NPI Number John V. Pruitt III M.D. has the Individual type.

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1063562320 NPI number is provided on an as is basis without warranty of any kind. 1063562320 is maintained by the National Plan & Provider Enumeration System. The contents of John V. Pruitt III M.D. are for informational purposes only.