Individual
JEFFREY MICHAEL SOBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1244 BOYLSTON ST, SUITE 302, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
(617) 731-1601
Mailing address
1244 BOYLSTON ST, SUITE 302, CHESTNUT HILL, MA 02467-2116
(617) 731-1600
(617) 731-1601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
153643
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014048
NHP
—
01
—
2972305
AETNA
—
01
—
300215
UNITED
—
01
—
35661
FALLON
—
01
—
400891
HPHC
—
01
—
5544925003
CIGNA
—
01
—
772002
TUFTS
—
01
—
J17603
BLUE SHIELD
MA
Enumeration date
04/03/2006
Last updated
05/30/2012
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