Individual
JEFFREY L. TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 MOUNT AUBURN ST, HUHS, CAMBRIDGE, MA 02138-4960
(617) 495-2068
(617) 496-0540
Mailing address
75 MOUNT AUBURN ST, HUHS, CAMBRIDGE, MA 02138-4960
(617) 495-2068
(617) 496-0540
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
59546
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059546
TUFTS HEALTH PLAN
MA
01
—
J07279
BC/BS OF MA
MA
Enumeration date
08/17/2006
Last updated
01/14/2015
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