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Individual

DR. JEFFREY J SPILLANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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