| Jasam, PC | |
|
47 E Grove St Ste 204 Middleboro MA 02346-1816 | |
| (508) 947-6606 | |
| (508) 947-7660 |
| Full Name | Jasam, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 47 E Grove St, Middleboro, Massachusetts |
| Authorized Official Name and Position | James J Samia (PRESIDENT/TREASURER) |
| Authorized Official Contact | 5089476606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasam, PC 47 E Grove St Ste 204 Middleboro MA 02346-1816 Ph: (508) 947-6606 | Jasam, PC 47 E Grove St Ste 204 Middleboro MA 02346-1816 Ph: (508) 947-6606 |
| NPI Number | 1497868616 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497868616 | NPI | - | NPPES |
| X11823 | Other | MA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17798 (Massachusetts) | Primary |
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