Provider Demographics
NPI:1538183298
Name:ZILBERFARB, JEFFREY L (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:L
Last Name:ZILBERFARB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 BEACON STREET
Mailing Address - Street 2:SUITE 5W
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446
Mailing Address - Country:US
Mailing Address - Phone:617-232-2663
Mailing Address - Fax:617-232-6342
Practice Address - Street 1:1101 BEACON STREET
Practice Address - Street 2:SUITE 5W
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446
Practice Address - Country:US
Practice Address - Phone:617-232-2663
Practice Address - Fax:617-232-6342
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78629207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2133069Medicaid
MA0904766OtherUNITED HEALTHCARE
MA171377OtherHARVARD PILGRIM
MA506284OtherAETNA/US HEALTH
MA1905543001OtherCIGNA
MA078629OtherTUFTS
MAJ30417OtherBLUE CROSS/BLUE SHIELD
MA1905543001OtherCIGNA
MAJ30417Medicare ID - Type Unspecified