Organization
JEROME FEDERSCHNEIDER M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME FEDERSCHNEIDER M.D. (PROPRIETOR)
(617) 735-8910
Entity
Organization
Contact information
Practice address
1 BROOKLINE PL, BROOKLINE, MA 02445-7224
(617) 735-8910
Mailing address
1 BROOKLINE PL, BROOKLINE, MA 02445-7224
(617) 735-8910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6191037
—
MA
01
—
M18864
BCBS GROUP #
MA
Enumeration date
12/01/2006
Last updated
08/22/2020
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