Healthcare Provider Details

I. General information

NPI: 1336438522
Provider Name (Legal Business Name): JENNIFER BYER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 COLUMBIAN ST
WEYMOUTH MA
02190-1601
US

IV. Provider business mailing address

PO BOX 102222 ATTN CREDENTIALING DEPT
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 781-624-4800
  • Fax:
Mailing address:
  • Phone: 239-432-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME120152
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number1025561
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberME120152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: