Individual
JEFFREY KUBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 523-7006
(617) 523-5006
Mailing address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 523-7006
(617) 523-5006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3070
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15635
HPHC
—
01
—
511857
UNITED
—
01
—
W15611
BCBS
—
Enumeration date
07/15/2006
Last updated
11/23/2007
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