Provider Demographics
NPI:1669495602
Name:WEE, JON (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:
Last Name:WEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DIVISION OF THORACIC SURGER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-6824
Mailing Address - Fax:617-566-3441
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DIVISION OF THORACIC SURGER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6824
Practice Address - Fax:617-566-3441
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA206051208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0026535OtherNEIGHBORHOOD HEALTH PLAN
MA0142310Medicaid
MAJ23551OtherBCBS
MA0142310Medicaid