Individual provider · Type 1 NPI
Hallie Lucille Jefferson, MD
Pediatric Surgery Physician · Boston, MA
NPI number
1629799754
Active
Practice location
300 Longwood Ave # BADEN273
Boston, MA 02115-5724
Mailing address
20 Charlesgate W Unit 620
Boston, MA 02215-2703
Other practice locations
- 675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969 · (312) 664-3278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036173850 (IL) |
| Pediatric Surgery Physician Primary | 2086S0120X | 295241 (MA) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Other pediatric surgery physician providers in Boston
- Matthew Shaughnessy, MDPediatric Surgery Physician Boston, MA NPI 1003264854
- Daniel Patrick Doody, MDPediatric Surgery Physician Boston, MA NPI 1023098621
- Robert Cooper Shamberger, MDPediatric Surgery Physician Boston, MA NPI 1043239536
- Arin L. Madenci, MDPediatric Surgery Physician Boston, MA NPI 1043653447
- Jill M. Zalieckas, MDPediatric Surgery Physician Boston, MA NPI 1174794556
- Prathima Nandivada, MDPediatric Surgery Physician Boston, MA NPI 1184936320
- Steven J. Fishman, MDPediatric Surgery Physician Boston, MA NPI 1235164617
- Brian Patrick Fallon, MDPediatric Surgery Physician Boston, MA NPI 1255781985
About NPI 1629799754
Hallie Lucille Jefferson, MD's National Provider Identifier is 1629799754, issued on Sep 7, 2022. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Boston, MA. The record was last updated on Mar 3, 2025.