Individual
JEFFREY MICHAEL SOBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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