Jellinek, Michael Steven

Jellinek, Michael Steven is an individual health care provider with primary practice located at 41 Mall Rd Lahey Hospital And Medical Center, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Jellinek, Michael Steven can be contacted via phone (781) 744-8610.

Contact Information

Primary practice address
41 Mall Rd Lahey Hospital And Medical Center Burlington MA 01805-0001
Phone: (781) 744-8610
Fax: (781) 744-5235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 39338 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 39338 Massachusetts

Profile Details

NPI number 1932180122
LBN Legal business name Jellinek, Michael Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Dec 15th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932180122 NPPES
Massachusetts Other M09735 BCBS MA

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