Jaksic, Tom
Jaksic, Tom is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 3, Boston MA 02115-5724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Jaksic, Tom can be contacted via phone (617) 355-9600.Contact Information
Primary practice address
300 Longwood Ave Fegan 3
Boston MA 02115-5724
Phone: (617) 355-9600
Fax: (617) 730-0477
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51940 | Massachusetts |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 51940 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 51940 | Massachusetts |
Profile Details
NPI number | 1972538379 |
---|---|
LBN Legal business name | Jaksic, Tom |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Feb 23rd, 2022 - about 3 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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