Dr. Jennifer Williams Mack
Pediatric Hematology-Oncologist
44 Binney St 454 Suite 21
Boston
, Massachusetts 02115
Dr. Jennifer Williams Mack
Pediatric Hematology-Oncologist
44 Binney St 454 Suite 21
Boston
, Massachusetts 02115
(617) 632-2270
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Williams Mack
- 450 Brookline Ave Dana 11
- Boston, MA
- Zip : 02215-5418
- Fax : (617) 632-2270
- Phone : (617) 632-6818
Second Address
- Dr. Jennifer Williams Mack
- 44 Binney St 454 Suite 21
- Boston, MA
- Zip : 02115
- Fax : (617) 632-2270
- Phone : (617) 632-6818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0207X | Pediatric Hematology-Oncologist | 212529 | MA |
National Provider Identifier
| NPI | 1225006398 |
|---|---|
| Provider Name | Dr. Jennifer Williams Mack |
| First Address | Boston, MA 02215-5418 |
| Second Address | Boston, MA 02115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 13/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2036436 | (05) | MA |
| 212529 | TUFTS (01) | |
| AA11960 | HPHC (01) | |
| I01844 | (02) | |
| J27212 | BLUE CROSS BLUE SHIELD (01) | 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.