MEDICARE: JAMIE ALLEN D.O.

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	207P00000X	Emergency Medicine Physician	1015407	MA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	1015407	MA

General Provider Information

NPI Number	:	1194187435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE ALLEN D.O.

Provider Business Mailing Address
First Line	:	153 ROLLSTONE AVE
Second Line	:
City	:	WEST SAYVILLE
State	:	NY
Zip	:	11796-1308
Country	:	US
Telephone Number	:	508-451-7692
Fax Number	:

Provider Business Practice Location Address
First Line	:	565 TURNPIKE ST STE 85
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5936
Country	:	US
Telephone Number	:	978-689-2247
Fax Number	:

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

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	08/08/2023

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Directions to “ JAMIE ALLEN D.O.” Practice Location

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