Healthcare Provider Details

I. General information

NPI: 1538183298
Provider Name (Legal Business Name): JEFFREY L ZILBERFARB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 BEACON STREET SUITE 5W
BROOKLINE MA
02446
US

IV. Provider business mailing address

1101 BEACON STREET SUITE 5W
BROOKLINE MA
02446
US

V. Phone/Fax

Practice location:
  • Phone: 617-232-2663
  • Fax: 617-232-6342
Mailing address:
  • Phone: 617-232-2663
  • Fax: 617-232-6342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number78629
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: