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NPI Code Detail

MEDICARE: DR. JEFFREY BAUER TIGER M.D.

MEDICARE:  DR. JEFFREY BAUER TIGER  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
1207ND0101XMOHS-Micrographic Surgery Physician258670MA
2207N00000XDermatology Physician258670MA

General Provider Information

NPI Number : 1326274200
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY BAUER TIGER M.D.
Provider Business Mailing Address
First Line : 67 S. BEDFORD STREET
Second Line : LAHEY HOSPITAL AND MEDICAL CENTER
City : BURLINGTON
State : MA
Zip : 01803-5108
Country : US
Telephone Number : 781-744-5115
Fax Number : 781-744-5687
Provider Business Practice Location Address
First Line : 67 S. BEDFORD STREET
Second Line : LAHEY HOSPITAL AND MEDICAL CENTER
City : BURLINGTON
State : MA
Zip : 01803-5108
Country : US
Telephone Number : 781-744-5115
Fax Number : 781-744-5687
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2009
Last Update Date : 10/05/2020

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