Provider Demographics
NPI:1922689157
Name:MALDONADO-ALERS, JULIAN J (MD)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:J
Last Name:MALDONADO-ALERS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:801 MASSACHUSSETTS AVE, 6TH FLOOR
Mailing Address - Street 2:CROSSTOWN PRIMARY CARE BOSTON MEDICAL CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119
Mailing Address - Country:US
Mailing Address - Phone:617-414-5951
Mailing Address - Fax:617-414-9251
Practice Address - Street 1:801 MASSACHUSSETTS AVE, 6TH FLOOR
Practice Address - Street 2:CROSSTOWN PRIMARY CARE BOSTON MEDICAL CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02119
Practice Address - Country:US
Practice Address - Phone:617-414-5951
Practice Address - Fax:617-414-9251
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program