Individual
JOHN DOBIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1153 CENTRE ST, FAULKNER HOSPITAL, JAMAICA PLAIN, MA 02130-3446
(617) 983-4410
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
194646
MA
363LA2200X
Adult Health Nurse Practitioner
194646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370380
—
MA
01
—
F781
HARVARD PILGRIM
MA
01
—
NP1477
BLUE CROSS
MA
Enumeration date
03/17/2006
Last updated
05/29/2013
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