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NPI Code Detail

MEDICARE: DR. EUGENE JURA M.D.

MEDICARE: DR. EUGENE JURA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician71482MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043203110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUGENE JURA M.D.
Provider Business Mailing Address
First Line : 21 BUNKER HILL RD
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-2220
Country : US
Telephone Number : 508-842-2884
Fax Number : 508-473-8695
Provider Business Practice Location Address
First Line : 30 LOCUST ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-2052
Country : US
Telephone Number : 413-582-2792
Fax Number : 413-582-4675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 05/04/2016

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Directions to “ DR. EUGENE JURA M.D.” Practice Location

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