Individual
JEFFREY S JACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
639 GRANITE ST STE 215, BRAINTREE, MA 02184-5371
(781) 817-5383
Mailing address
639 GRANITE ST STE 215, BRAINTREE, MA 02184-5371
(781) 817-5383
(781) 817-6177
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
51193
MA
208VP0000X
Pain Medicine Physician
51193
MA
208VP0014X
Interventional Pain Medicine Physician
51193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001253
—
MA
Enumeration date
01/09/2006
Last updated
02/06/2020
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