Jewell, Edward R

Jewell, Edward R is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Inc., Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jewell, Edward R can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic, Inc. Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-5251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 40608 Massachusetts

Profile Details

NPI number 1659436905
LBN Legal business name Jewell, Edward R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 24th, 2011 - about 13 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 1659436905 NPPES
Massachusetts MEDICAID 110063839A

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