MEDICARE: DR. JEFFREY LAW SIMMONS 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
1	2084P0800X	Psychiatry Physician	39537	MA

General Provider Information

NPI Number	:	1851354781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY LAW SIMMONS M.D.

Provider Business Mailing Address
First Line	:	16 OAK MEADOW RD
Second Line	:
City	:	LINCOLN
State	:	MA
Zip	:	01773-2214
Country	:	US
Telephone Number	:	781-259-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ENTERPRISE DR
Second Line	:	BLUE CROSS BLUE SHIELD OF MASSACHU
City	:	QUINCY
State	:	MA
Zip	:	02171-2126
Country	:	US
Telephone Number	:	617-246-5439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	07/08/2007

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