Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 158244 | MA |
NPI | 1003841727 |
---|---|
Provider Name | Dr. Jean R Butterfield |
First Address | Milton, MA 02186-4761 |
Second Address | Rutland, VT 05701-4570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 26/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
326100099 | (05) | ME |
G74836 | (02) | ME |