Provider Demographics
NPI:1548363518
Name:UNTERBORN, JOHN N (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:N
Last Name:UNTERBORN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11 NEVINS ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3514
Mailing Address - Country:US
Mailing Address - Phone:617-779-6700
Mailing Address - Fax:617-779-6771
Practice Address - Street 1:11 NEVINS ST
Practice Address - Street 2:SUITE 202
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3514
Practice Address - Country:US
Practice Address - Phone:617-779-6700
Practice Address - Fax:617-779-6771
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2011-10-24
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Provider Licenses
StateLicense IDTaxonomies
MA74600207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease