Mcgovern, Jessica Erin

Mcgovern, Jessica Erin is an individual health care provider with primary practice located at 111 Willard St Milton Pediatric Associates, Quincy MA 02169-1200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcgovern, Jessica Erin can be contacted via phone (617) 472-6100.

Contact Information

Primary practice address
111 Willard St Milton Pediatric Associates Quincy MA 02169-1200
Phone: (617) 472-6100
Fax: (617) 770-3758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 221793 Massachusetts

Profile Details

NPI number 1376534404
LBN Legal business name Mcgovern, Jessica Erin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376534404 NPPES
Massachusetts Other J28075 BCBS OF MA
Massachusetts Other 469821 BCBS OF MA

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