Provider Demographics
NPI:1164409421
Name:OVIEDO, JAIME A (MD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:A
Last Name:OVIEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:475 FRANKLIN STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-620-9200
Mailing Address - Fax:508-620-6483
Practice Address - Street 1:475 FRANKLIN STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-620-9200
Practice Address - Fax:508-620-6483
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2015-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA159974207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0172065Medicaid
MA159974OtherTUFTS
MAAA88873OtherHARVARD PILGRIM HEALTHCARE
MAJ25081OtherBC/BS
MA7315346OtherAETNA
MA100016453OtherRR MEDICARE
MA8814396OtherCIGNA
MA159974OtherTUFTS
MA100016453OtherRR MEDICARE