Individual
JEFFREY L MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5215
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-5215
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
156680
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
156680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059913A
—
MA
Enumeration date
07/21/2006
Last updated
05/06/2019
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