Individual provider · Type 1 NPI

Jacob Gregory Ludington, MD, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1134613383 Active

Practice location

800 Washington St
Boston, MA 02111-1552

Call (617) 636-2567 Map

Mailing address

800 Washington St # 115
Boston, MA 02111-1552

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X2018018657 (MO)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134613383

Jacob Gregory Ludington, MD, PhD's National Provider Identifier is 1134613383, issued on Jun 20, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on May 6, 2021.