Individual
DR. JEFFREY J SPILLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CAMP ST, HYANNIS, MA 02601-3007
(508) 428-6219
(508) 790-1897
Mailing address
100 CAMP ST, HYANNIS, MA 02601-3007
(508) 775-1984
(508) 790-1897
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
219914
MA
208D00000X
General Practice Physician
219914
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029633
BOSTON MEDICAL CENT HP
MA
05
—
2041472
—
MA
01
—
468726
TUFTS HEALTH PLAN
MA
01
—
AA10594
HARVARD PILGRIM HEALTH
MA
01
—
J27150
BCBS
MD
01
—
P00162754
RAILROAD MEDICARE
MA
Enumeration date
03/01/2006
Last updated
05/29/2014
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