| Jay Luthar Md Pllc | |
|
75 Kneeland St Boston MA 02111-1901 | |
| (617) 676-2592 | |
| Not Available |
| Full Name | Jay Luthar Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 75 Kneeland St, Boston, Massachusetts |
| Authorized Official Name and Position | Jay Luthar (OWNER) |
| Authorized Official Contact | 4016326991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Luthar Md Pllc 75 Kneeland St Boston MA 02111-1901 Ph: (401) 632-6991 | Jay Luthar Md Pllc 75 Kneeland St Boston MA 02111-1901 Ph: (617) 676-2592 |
| NPI Number | 1710799572 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 02/03/2025 |
| Medicare PECOS PAC ID | 0042740169 |
|---|---|
| Medicare Enrollment ID | O20250205000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710799572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jay R Luthar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124552567 PECOS PAC ID: 6709156540 Enrollment ID: I20210115000161 |
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