Pfau, Jennifer L

Pfau, Jennifer L is an individual health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pfau, Jennifer L can be contacted via phone (617) 569-5800.

Contact Information

Primary practice address
10 Gove St East Boston MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 235840 Massachusetts

Profile Details

NPI number 1134263502
LBN Legal business name Pfau, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Feb 16th, 2021 - about 3 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 1134263502 NPPES
Massachusetts MEDICAID 110085173A
Massachusetts MEDICAID 2160161

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