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Contact Information

JEFFREY CANNON, MD
55 FRUIT ST
BOSTON, MA02114-2621
 Phone: 617-726-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEFFREY CANNON · (Male)

NPI # 1851851158
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2019
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 1013919
  • OH License # 35.144843
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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