Healthcare Provider Details

I. General information

NPI: 1891479382
Provider Name (Legal Business Name): JEFFREY HA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 UNION ST
WESTBOROUGH MA
01581-5408
US

IV. Provider business mailing address

900 UNION ST
WESTBOROUGH MA
01581-5408
US

V. Phone/Fax

Practice location:
  • Phone: 508-871-0700
  • Fax: 508-616-4411
Mailing address:
  • Phone: 508-871-0700
  • Fax: 508-616-4411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1028643
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: