Individual
DR. JESSE BERNARD JUPITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 2162 ORTHOPAEDIC ASSOCIATES, BOSTON, MA 02114-2621
(617) 726-5100
(617) 724-8532
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-4700
(617) 724-8532
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044284
TUFTS HEALTH PLAN
MA
05
—
2069563
—
MA
01
—
M09942
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
09/07/2012
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