Individual
DR. JEFFREY L ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 NORTH ST, SUITE 203, PITTSFIELD, MA 01201-4147
(413) 499-8590
(413) 499-6410
Mailing address
777 NORTH ST STE 203, P.O. BOX 1264, PITTSFIELD, MA 01201-4123
(413) 499-8590
(413) 499-6410
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
231178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043487
BMC HEALTHNET
MA
05
—
02635367
—
NY
01
—
1750383170
TUFTS HEALTH PLAN
MA
05
—
2146568
—
MA
01
—
3002785
MVP
MA
01
—
41385
HEALTH NEW ENGLAND
MA
01
—
7903586
AETNA
—
01
—
AA96200
HARVARD PILGRIM HEALTH PLAN
MA
01
—
J41872
BCBSMA
MA
Enumeration date
08/15/2005
Last updated
01/18/2024
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