Brian W Jack M.D.

  • 1053385120 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Brian W Jack M.D. is 1053385120 and actived since Wednesday, February 15 2006. Brian W Jack M.D. is an individual provider specializes in Family Medicine, primary practice location is 850 Harrison Ave, Boston, MA 02118. You can also contact Brian W Jack M.D. via telephone number is (617) 414-2080. Provider NPI information was last updated on 06/30/2014.

Recently Active NPIs

Overview of Brian W Jack M.D.

  • NPI number: 1063059160
  • Provider type: Individual
  • Specialty: Family Medicine
  • Gender: Male
  • Active since: 02/15/2006
  • Last updated: 06/30/2014

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 154199
  • License State: MA

Provider Mailing Address

  • Address: 720 Harrison Ave
    Dob 503
    Boston, MA 02118
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 850 Harrison Ave
    Yacc 4
    Boston, MA 02118
  • Phone: 617-414-2080
  • Fax: 617-414-2090

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 154199
  • License State: MA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 110059621A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Brian W Jack M.D.?
  • A: The npi number for Brian W Jack M.D. is 1053385120.
  • Q: What are Brian W Jack M.D.'s specialties?
  • A: Brian W Jack M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Brian W Jack M.D.?
  • A: The medical license number for Brian W Jack M.D. is 154199 and issued in MA in USA.
  • Q: Where is Brian W Jack M.D. practice location?
  • A: Brian W Jack M.D. is practicing at 850 Harrison Ave, Boston, MA 02118.
  • Q: How to contact Brian W Jack M.D.?
  • A: You can contact Brian W Jack M.D. via 617-414-2080.