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Individual

DR. JEFFREY LAWRENCE ECKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST YAW 4, VINCENT OB/GYN SERVICE, BOSTON, MA 02114-2621
(617) 724-2229
(617) 724-3498
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
74232
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3165205
MA
01
724872
TUFTS HEALTH PLAN
MA
01
J17527
BCBS OF MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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