Active NPIIndividual providerSole proprietor

Jack E Luber, DPM

Podiatrist in Medford, Massachusetts

NPI Number1538175187
Practice location
425 Salem St, Medford, MA 02155-3337
Fax
—
Last updated
July 8, 2007

Jack E Luber is a Podiatrist based in Medford, MA. Jack E Luber practices in Medford, MA and has the professional credentials of DPM. The NPI Number for Jack E Luber is 1538175187 and holds a License No. PD1514 (MA). The current practice location address for Jack E Luber is 425 Salem St, Medford, MA 02155-3337 and can be reached out via phone at 781-933-3734.

Provider Profile Details

NPI Number
1538175187
Provider Name
Jack E Luber
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
425 Salem St, Medford, MA 02155-3337
Phone Number
781-933-3734
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Salem St
Medford, MA 02155-3337
Zip
02155-3337
Phone Number
781-933-3734
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
8 Island Way
Andover, MA 01810-6043
City
Andover
State
MA
Zip
01810-6043
Phone Number
781-933-3734

License Information

License Number
PD1514
License State
MA
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jack E Luber, DPM?

The NPI number of Jack E Luber, DPM is 1538175187. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Jack E Luber, DPM?

Jack E Luber, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in MA under license number PD1514.

Where does Jack E Luber, DPM practice?

The practice location is 425 Salem St, Medford, MA 02155-3337. The office can be reached at 781-933-3734 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538175187 directly on the NPPES registry website.

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