Provider Demographics
NPI:1225290729
Name:JANG, JOANNE (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:JANG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:FINARD BASEMENT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-2345
Mailing Address - Fax:617-667-4990
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:FINARD BASEMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-2345
Practice Address - Fax:617-667-4990
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2014-10-09
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Provider Licenses
StateLicense IDTaxonomies
MA2461012085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology