Organization
JEFFREY KUBLIN OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KUBLIN OD (OWNER)
(617) 523-7006
Entity
Organization
Contact information
Practice address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 523-7006
(617) 523-5006
Mailing address
175 CAMBRIDGE ST, BOSTON, MA 02114-2743
(617) 523-7006
(617) 523-5006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3070
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W20111
BC/BS
MA
Enumeration date
12/29/2006
Last updated
07/01/2009
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