Individual provider · Type 1 NPI
Jackie J. Lian
Diagnostic Radiology Physician · Boston, MA
NPI number
1912407768
Active
Practice location
1 Deaconess Road, Radiology Dept., Bidmc
Boston, MA 02215
Fax (617) 754-2545
Mailing address
310 Tweedsmuir Avenue, Unit 320
Toronto, ONTARIO 522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 66597 (DC) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1912407768
Jackie J. Lian's National Provider Identifier is 1912407768, issued on Feb 19, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Feb 19, 2018.