Individual
DR. JASON B HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-3812
(617) 726-7416
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-8990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209882
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139670
—
MA
01
—
407100
TUFTS HEALTH PLAN
MA
01
—
J23397
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
12/07/2012
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