Individual
DR. JESSE DAVID ROBERTS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET FND 442, MASSACHUSETTS GENERAL HOSPITAL NEW BORN SERVICE, BOSTON, MA 02114-2696
(617) 726-9040
(617) 726-9346
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
73198
MA
208000000X
Pediatrics Physician
Primary
73198
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073198
TUFTS HEALTH PLAN
MA
05
—
3074196
—
MA
01
—
J10293
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
09/11/2025
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