Delugan, Jamie Robert

Delugan, Jamie Robert is an individual health care provider with primary practice located at 340 Wood Rd Suite 2020, Braintree MA 02184-2401. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Delugan, Jamie Robert can be contacted via phone (781) 794-2200.

Contact Information

Primary practice address
340 Wood Rd Suite 2020 Braintree MA 02184-2401
Phone: (781) 794-2200
Fax: (781) 794-2239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3116 Massachusetts

Profile Details

NPI number 1265460968
LBN Legal business name Delugan, Jamie Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265460968 NPPES
Massachusetts MEDICAID 0391778

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