Individual
DR. JEFFERSON BRUCE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST YAW 6900, CHILD & ADOLESCENT PSYCHIATRY, BOSTON, MA 02114
(617) 724-5600
(617) 726-5567
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
2084P0800X
Psychiatry Physician
81600
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
81600
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725755
TUFTS HEALTH PLAN
MA
Enumeration date
07/19/2006
Last updated
09/11/2025
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