Individual provider · Type 1 NPI

Jordan Chase Wengrod, MD, PhD

Hematology & Oncology Physician · Boston, MA

NPI number 1407237613 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5418

Mailing address

75 Francis St
Boston, MA 02115-6110

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X272966 (MA)
Internal Medicine Physician 207R00000X272966 (MA)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1407237613

Jordan Chase Wengrod, MD, PhD's National Provider Identifier is 1407237613, issued on Jun 12, 2015. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Boston, MA. The record was last updated on Oct 30, 2019.