Molly Linn Perencevich
Internist Gastroenterologist
75 Francis St Brigham And Women's Hospital, Department Of Medicine
Boston
, Massachusetts 02115-6110
Molly Linn Perencevich
Internist Gastroenterologist
75 Francis St Brigham And Women's Hospital, Department Of Medicine
Boston
, Massachusetts 02115-6110
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About
Features
Specialties
- Internist
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Molly Linn Perencevich
- 32 Spring Park Ave Unit #2
- Jamaica Plain, MA
- Zip : 02130-2132
- Phone :
Second Address
- Molly Linn Perencevich
- 75 Francis St Brigham And Women's Hospital, Department Of Medicine
- Boston, MA
- Zip : 02115-6110
- Phone : (617) 732-5775
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 228772 | MA |
| N | 111NI0900X | Internist | 228772 | MA |
| Y | 207RG0100X | Gastroenterologist | 236362 | MA |
National Provider Identifier
| NPI | 1043366214 |
|---|---|
| Provider Name | Molly Linn Perencevich |
| First Address | Jamaica Plain, MA 02130-2132 |
| Second Address | Boston, MA 02115-6110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2007 |
| Last Update Date | 01/02/2017 |
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.