Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 160612 | MA |
N | 111NI0900X | Internist | 160612 | MA |
Y | 207RH0002X | Hospice and Palliative Medicine | 160612 | MA |
NPI | 1043297823 |
---|---|
Provider Name | Dr. Jennifer K Hughes |
First Address | Roslindale, MA 02131-1011 |
Second Address | Boston, MA 02118-2605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 08/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110001474A | (05) | MA |
H31378 | (02) | MA |