Jessica Marie Addison
Pediatrician Adolescent Medicine
333 Longwood Ave
Boston
, Massachusetts 02115-5711
Jessica Marie Addison
Pediatrician Adolescent Medicine
333 Longwood Ave
Boston
, Massachusetts 02115-5711
(202) 549-4001
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Jessica Marie Addison
- 1090 Beacon St Apt 2d
- Brookline, MA
- Zip : 02446-3966
- Phone : (202) 549-4001
Second Address
- Jessica Marie Addison
- 333 Longwood Ave
- Boston, MA
- Zip : 02115-5711
- Phone : (617) 355-7181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD042125 | DC |
| Y | 2080A0000X | Adolescent Medicine | 272429 | MA |
National Provider Identifier
| NPI | 1275824948 |
|---|---|
| Provider Name | Jessica Marie Addison |
| First Address | Brookline, MA 02446-3966 |
| Second Address | Boston, MA 02115-5711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2011 |
| Last Update Date | 17/03/2018 |
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.