Individual
JEROME LAWRENCE SLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MOUNT AUBURN ST, SUITE 514, CAMBRIDGE, MA 02138-5665
(617) 497-0335
(617) 492-7480
Mailing address
300 MOUNT AUBURN ST, SUITE 514, CAMBRIDGE, MA 02138-5665
(617) 497-0335
(617) 492-7480
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
38197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012351
NEIGHBORHOOD HEALTH PLAN
—
05
—
2043467
—
MA
01
—
26154
FALLON
—
01
—
60226
HARVARD PILGRIM
—
01
—
710593
TUFTS
—
01
—
B33479
BLUE SHIELD
—
Enumeration date
08/07/2006
Last updated
07/08/2007
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