Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 210143 | MA |
NPI | 1063496479 |
---|---|
Provider Name | Dr. Jennifer S Temel |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 20/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0186180 | (05) | MA |
210143 | TUFTS HEALTH PLAN (01) | MA |
H76241 | (02) | |
J25552 | BCBS MA (01) | MA |