Macdonald, Jeanne L

Macdonald, Jeanne L is an individual health care provider with primary practice located at 55 Fruit St Fnd442 Pediatric Critical Care, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Macdonald, Jeanne L can be contacted via phone (617) 724-9040.

Contact Information

Primary practice address
55 Fruit St Fnd442 Pediatric Critical Care Boston MA 02114-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 220949 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 220949 Massachusetts

Profile Details

NPI number 1750371811
LBN Legal business name Macdonald, Jeanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 14th, 2019 - about 5 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 1750371811 NPPES
Massachusetts Other 78751 TUFTS HEALTH PLAN
Massachusetts Other J29146 TUFTS HEALTH PLAN

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