Individual
DR. JASON DEAN LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 STATE ROAD, VINEYARD HAVEN, MA 02568
(508) 693-6747
(508) 693-6744
Mailing address
PO BOX 1235, OAK BLUFFS, MA 02557
(508) 693-6744
(508) 693-9019
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49236
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162574
—
MA
01
—
13157
HARVARD PILGRIM
MA
01
—
718415
TUFTS
—
01
—
L20020
BCBS
—
Enumeration date
11/15/2006
Last updated
01/24/2009
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