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NPI Code Detail

MEDICARE: DR. JESSICA READER MD/MPH

MEDICARE: DR. JESSICA READER MD/MPH
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
1207Q00000XFamily Medicine Physician125.064503IL
2390200000XStudent in an Organized Health Care Education/Training Program
3207Q00000XFamily Medicine Physician275001MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S400507796OTHERMAMEDICARE

General Provider Information

NPI Number : 1467871095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA READER MD/MPH
Provider Business Mailing Address
First Line : 147 PELHAM ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-686-3491
Fax Number : 978-686-3472
Provider Business Practice Location Address
First Line : 147 PELHAM ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-686-3491
Fax Number : 978-683-3472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 12/04/2018

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