Individual
DR. JEFFREY A BILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 SECOND AVE, STE 340 MASS GENERAL WEST, WALTHAM, MA 02451
(781) 466-8988
(781) 466-8987
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(781) 466-8967
(781) 466-8987
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
47848
MA
2080P0206X
Pediatric Gastroenterology Physician
Primary
47848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6171737
—
MA
01
—
700983
TUFTS HEALTH PLAN
MA
01
—
J02176
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
08/10/2012
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