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Provider Information for 1497015440

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JESSICA KREMEN M.D.

Gender: FEMALE

Individual NPI: 1497015440

Calendar   Last Updated:  2022-04-19
  Certification Date:  2022-04-19

Details

Name Value
NPI 1497015440
Enumeration Date 2012-05-24
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 333 LONGWOOD AVE 2ND FLOOR
BOSTON, MA 02115-5711
United States

Phone: 617-355-7476 | Fax: 617-730-0194
View Map External Link
Primary Practice Address 333 LONGWOOD AVE SECOND FLOOR
BOSTON, MA 02115-5711
United States

Phone: 617-355-7476 | Fax: 617-730-0194
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0205X - Pediatrics Pediatric Endocrinology MA 262994
No 208000000X - Pediatrics MA 262994