Dr. Georgette Jeanty
Hematologist
1525 Blue Hill Ave First Floor
Mattapan
, Massachusetts 02126-1702
Dr. Georgette Jeanty
Hematologist
1525 Blue Hill Ave First Floor
Mattapan
, Massachusetts 02126-1702
(617) 296-2979
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About
Features
Specialties
- Hematologist
Languages spoken
- English
Location
First Address
- Dr. Georgette Jeanty
- 1525 Blue Hill Ave Pobox 260368
- Mattapan, MA
- Zip : 02126-1702
- Fax : (617) 296-2979
- Phone : (617) 298-0156
Second Address
- Dr. Georgette Jeanty
- 1525 Blue Hill Ave First Floor
- Mattapan, MA
- Zip : 02126-1702
- Fax : (617) 296-2979
- Phone : (617) 298-0156
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Is Dr. Georgette Jeanty a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0000X | Hematologist | 44266 | MA |
National Provider Identifier
| NPI | 1164576658 |
|---|---|
| Provider Name | Dr. Georgette Jeanty |
| First Address | Mattapan, MA 02126-1702 |
| Second Address | Mattapan, MA 02126-1702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001717 | NEIGHBORHOOD HLTH CARE (01) | MA |
| 2085259 | (05) | MA |
| 44266 | TUFTS ASSOCIATED HEALTH (01) | MA |
| 66984UH | HARVARD PILGRIM (01) | MA |
| 84288 | USH AETNA (01) | MA |
| C15090 | BCBS (01) | MA |
| CA0538 | RAILROAD MEDICARE (01) | MA |
| D88192 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.