Organization
JASON M GILBERT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M GILBERT MD (PRESIDENT)
(781) 395-9916
Entity
Organization
Contact information
Practice address
101 MAIN STREET, SUITE 208, MEDFORD, MA 02155
(781) 395-9916
(781) 395-9960
Mailing address
101 MAIN STREET, SUITE 208, MEDFORD, MA 02155
(781) 395-9916
(781) 395-9960
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
71013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787267
—
MA
01
—
M17721
BLUE SHIELD
MA
Enumeration date
09/30/2006
Last updated
04/01/2015
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