Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. TOM JAKSIC MD, PHD
Gender: MALE
NPI: 1972538379
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Last Updated: | 2022-02-23 | ||
| Certification Date: | 2022-02-23 |
Details
| Name | Value | ||||||||||||||||
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| NPI | 1972538379 | ||||||||||||||||
| Enumeration Date | 2006-07-12 | ||||||||||||||||
| NPI Type | 1 - Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address |
45 TEMPLE ST UNIT 510
BOSTON, MA 02114-4273 United States Phone: 617-840-1941 | Fax: View Map 
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| Primary Practice Address |
300 LONGWOOD AVE
FEGAN 3
BOSTON, MA 02115-5724 United States Phone: 617-355-9600 | Fax: 617-730-0477 View Map
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