# DR. JASON DEAN LEW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205908142
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 49236 | MA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 01/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0162574 | — | MA |
| 01 | — | 13157 | HARVARD PILGRIM | MA |
| 01 | — | 718415 | TUFTS | — |
| 01 | — | L20020 | BCBS | — |