Healthcare Provider Details

I. General information

NPI: 1871707752
Provider Name (Legal Business Name): JESSICA RABE SAVAGE MD, MHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA HELEN RABE MD

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 BOYLSTON ST
CHESTNUT HILL MA
02467-2477
US

IV. Provider business mailing address

1 JIMMY FUND WAY
BOSTON MA
02115-6007
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-9850
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number252544
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number252544
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: