Individual
DR. MICHAEL ALAN JABLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
62 DERBY ST, STE 13, HINGHAM, MA 02043
(781) 749-4600
(781) 741-8341
Mailing address
31 GAY ST, NEWTONVILLE, MA 02460
(617) 527-4475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4318
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04343088003
PACIFICARE BEHAVIORAL HEA
MA
01
—
330230
HARVARD PILGRIM HEALTH CA
MA
01
—
4122160
AETNA
MA
01
—
728655
TUFTS HEALTH PLAN
MA
01
—
W04272
BCBS
MA
Enumeration date
08/10/2006
Last updated
07/08/2007
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