Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juan Ascanio, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114542164

Juan Ascanio, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Brookline Ave
Boston, MA 02215-5491
Phone: (617) 667-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114542164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address1457 Tremont St Apt 205, Roxbury Crossing, MA 02120-3090

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