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NPI Code Detail

MEDICARE: DR. JODI ELENE EIPPER-MAINS M.D./PH.D.

MEDICARE:  DR. JODI ELENE EIPPER-MAINS  M.D./PH.D.
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
12084P0800XPsychiatry Physician266660MA

General Provider Information

NPI Number : 1720320401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JODI ELENE EIPPER-MAINS M.D./PH.D.
Provider Business Mailing Address
First Line : 57 BEDFORD ST STE 230
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-4502
Country : US
Telephone Number : 781-226-2959
Fax Number : 570-243-0810
Provider Business Practice Location Address
First Line : 57 BEDFORD ST STE 230
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-4502
Country : US
Telephone Number : 781-226-2959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 07/09/2025

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Directions to “ DR. JODI ELENE EIPPER-MAINS M.D./PH.D.” Practice Location

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