Pert, James C

Pert, James C is an individual health care provider with primary practice located at 26 City Hall Mall , Medford MA 02155-4754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pert, James C can be contacted via phone (781) 306-5100.

Contact Information

Primary practice address
26 City Hall Mall Medford MA 02155-4754
Phone: (781) 306-5100
Fax: (781) 306-5379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52249 Massachusetts

Profile Details

NPI number 1710967708
LBN Legal business name Pert, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 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 1710967708 NPPES
Massachusetts Other 052249 TUFTS
Massachusetts Other PP176 TUFTS
Massachusetts Other 0015130 TUFTS
Massachusetts Other J03381 TUFTS
Massachusetts MEDICAID 6161715 TUFTS

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