Organization
BLUE HILL PAIN CARE PLLC
Active
Other names
BHPC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S JACKEL MD (OWNER)
(781) 817-5383
Entity
Organization
Contact information
Practice address
639 GRANITE ST STE 215, BRAINTREE, MA 02184-5371
(781) 817-5383
(781) 817-5383
Mailing address
639 GRANITE ST STE 215, BRAINTREE, MA 02184-5371
(781) 817-5383
(781) 817-6177
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
51193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001253
—
MA
Enumeration date
12/03/2013
Last updated
02/06/2020
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