Provider Demographics
NPI:1114945243
Name:MARCH, JONATHAN P (DO)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:P
Last Name:MARCH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 NEWBURYPORT TPKE
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1113
Mailing Address - Country:US
Mailing Address - Phone:978-465-9770
Mailing Address - Fax:978-465-9004
Practice Address - Street 1:65 NEWBURYPORT TPKE
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1113
Practice Address - Country:US
Practice Address - Phone:978-465-9770
Practice Address - Fax:978-465-9004
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76720207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3108333Medicaid
MA34867OtherINDIVIDUAL FALLON ID
MAJ13261OtherINDIVIDUAL BCBS ID
MA076720OtherINDIVIDUAL TUFTS ID
MAJ13261OtherINDIVIDUAL BCBS ID
MAJ13261Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE ID