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1205832821

NPI Code Detail

MEDICARE: JENNIFER K FEHSER MD

MEDICARE: JENNIFER K FEHSER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	219963	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0033559	OTHER		NEIGHBORHOOD HEALTH
2	3812682	OTHER		CIGNA
3	469664	OTHER		TUFTS COMMONWEALTH
4	AA15713	OTHER		FIRST SENIORITY
5	70083	OTHER		CHILDREN'S MEDICAL SECURI
6	469664	OTHER		TUFTS BENEFITS
7	469664	OTHER		TUFTS TOTAL HEALTH PLAN
8	AA15713	OTHER		HARVARD PILGRIM PPO
9	469664	OTHER		TUFTS
10	2081270	OTHER		MASS. HEALTH
11	3812682	OTHER	MA	HEALTHSOURCE
12	J27831	OTHER		HMO BLUE/BLUE COICE
13	AA15713	OTHER		HARVARD/PILGRIM
14	J27831	OTHER		BS-BLUE CARE ELECT
15	AA15713	OTHER		HARVARD PILGRIM POS
16	J27831	OTHER		BLUE SHEILD

General Provider Information

NPI Number	:	1205832821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER K FEHSER MD

Provider Business Mailing Address
First Line	:	PO BOX 9120
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02027-9120
Country	:	US
Telephone Number	:	780-329-1400
Fax Number	:	781-278-5667

Provider Business Practice Location Address
First Line	:	1 LYONS ST
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-5599
Country	:	US
Telephone Number	:	781-329-1400
Fax Number	:	781-278-5667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/08/2007

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1609872233 — R MATTHEW MINER D.D.S.
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1659378289 — TERRI LOEWENTHAL CCC-A
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Directions to “ JENNIFER K FEHSER MD” Practice Location

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