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Organization

JMG MACIPA LLC

Active
Parent organization
JASON M. GILBERT, M.D.P.C.
Other names
Jason Gilbert, MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
JASON M. GILBERT, M.D.P.C.
Authorized official
JASON M GILBERT MD (OWNER)
(781) 395-9916
Entity
Organization

Contact information

Practice address
101 MAIN ST STE 208, MEDFORD, MA 02155-4530
(781) 395-9916
(781) 395-9960
Mailing address
101 MAIN ST STE 208, MEDFORD, MA 02155-4530
(781) 395-9916
(781) 395-9960

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
11/19/2019
Last updated
08/18/2021
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