Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 40886 | MA |
N | 207RI0200X | Infectious Disease | 40886 | MA |
NPI | 1114917986 |
---|---|
Provider Name | Dr. Jeffrey A Gelfand |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0104744 | (05) | MA |
702060 | TUFTS HEALTH PLAN (01) | MA |
B69483 | (02) | |
E05091 | BCBS MA (01) | MA |