Provider Demographics
NPI:1124086145
Name:CARO, JESUS JAIME (MD)
Entity type:Individual
Prefix:
First Name:JESUS
Middle Name:JAIME
Last Name:CARO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:430 BEDFORD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-1507
Mailing Address - Country:US
Mailing Address - Phone:781-960-0215
Mailing Address - Fax:781-761-0147
Practice Address - Street 1:430 BEDFORD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-1507
Practice Address - Country:US
Practice Address - Phone:781-960-0215
Practice Address - Fax:781-761-0147
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75682207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine