Phalen, Jean R

Phalen, Jean R is an individual health care provider with primary practice located at 1450 Highland Ave , Needham MA 02492-2690. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Phalen, Jean R can be contacted via phone (781) 449-0020.

Contact Information

Primary practice address
1450 Highland Ave Needham MA 02492-2690
Phone: (781) 449-0020
Fax: (781) 449-3181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57337 Massachusetts

Profile Details

NPI number 1376510271
LBN Legal business name Phalen, Jean R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 24th, 2012 - about 14 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 1376510271 NPPES
Massachusetts Other 693126 HARVARD PILGRIM ID
Massachusetts MEDICAID 3024512 HARVARD PILGRIM ID
Massachusetts Other J06766 HARVARD PILGRIM ID
Massachusetts Other 057337 HARVARD PILGRIM ID

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