Individual
JAMES C PERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5100
(781) 306-5379
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52249
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015130
NEIGHBORHOOD HEALTH
MA
01
—
052249
TUFTS
MA
05
—
6161715
—
MA
01
—
J03381
BLUE CROSS
MA
01
—
PP176
HARVARD PILGRIM
MA
Enumeration date
01/18/2006
Last updated
07/08/2007
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