# JEROME FEDERSCHNEIDER M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043388549
- **Authorized official:** DR. JEROME FEDERSCHNEIDER M.D. (PROPRIETOR)
- **Authorized official phone:** (617) 735-8910

## Contact information

- **Practice address:** 1 BROOKLINE PL, BROOKLINE, MA 02445-7224
- **Practice address phone:** (617) 735-8910
- **Mailing address:** 1 BROOKLINE PL, BROOKLINE, MA 02445-7224
- **Mailing address phone:** (617) 735-8910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6191037 | — | MA |
| 01 | — | M18864 | BCBS GROUP \# | MA |