Individual
DR. MICHAEL STEVEN JELLINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8610
(781) 744-5235
Mailing address
40 CRESCENT AVE, NEWTON, MA 02459-2102
(617) 650-9361
(617) 467-5890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
39338
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
39338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M09735
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
12/15/2023
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