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Organization

EUGENE C. JAGELLA, M.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EUGENE C JAGELLA M.D. (PRESIDENT)
(508) 478-4618
Entity
Organization

Contact information

Practice address
40 PROSPECT ST, MILFORD, MA 01757-3026
(508) 478-4618
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(603) 893-9784
(603) 893-8886

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9765140
MA
01
M19099
BCBS MASS
MA
Enumeration date
12/28/2005
Last updated
11/17/2009
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