Blank, Jody S.

Blank, Jody S. is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Burlington MA 01805-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Blank, Jody S. can be contacted via phone (781) 744-3839.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic Burlington MA 01805-0001
Phone: (781) 744-3839
Fax: (781) 744-1597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220434 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 220434 Massachusetts

Profile Details

NPI number 1740221274
LBN Legal business name Blank, Jody S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 11th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740221274 NPPES
Massachusetts MEDICAID 110038276A

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