Organization
JASON M. GILBERT, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M. GILBERT M.D. (PRESIDENT)
(781) 395-9916
Entity
Organization
Contact information
Practice address
101 MAIN ST, SUITE 208, MEDFORD, MA 02155-4540
(781) 395-9916
Mailing address
101 MAIN STREET, SUITE 208, MEDFORD, MA 02155-4530
(781) 395-9916
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787267
—
MA
01
—
M17721
MASSACHUSETTS BLUE SHIELD PROVIDER NUMBER
MA
Enumeration date
01/17/2013
Last updated
01/17/2013
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