DR. TOM JAKSIC MD PHD NPI 1972538379

NPI Information

DR. Tom Jaksic, MD, PHD is a pediatric surgery surgery in Boston, MA with 43 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Tom Jaksic, MD, PHD NPI is 1972538379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 LONGWOOD AVE
FEGAN 3
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-9600
Fax: (617) 730-0477

The NPI 1972538379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 2/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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