Shifren, Jan Leslie
Shifren, Jan Leslie is an individual health care provider with primary practice located at 55 Fruit Street Yaw 10 Vincent Obgyn Reproductive Med Ivf, Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Reproductive Endocrinology is her primary health care specialty. Shifren, Jan Leslie can be contacted via phone (617) 726-8868.Contact Information
Primary practice address
55 Fruit Street Yaw 10 Vincent Obgyn Reproductive Med Ivf
Boston MA 02114
Phone: (617) 726-8868
Fax: (617) 726-4803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 151048 | Massachusetts |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 151048 | Massachusetts |
Profile Details
| NPI number | 1669454609 |
|---|---|
| LBN Legal business name | Shifren, Jan Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Sep 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669454609 | NPPES |
| Massachusetts | Other | 151048 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3155684 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J16855 | TUFTS HEALTH PLAN |
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