Individual
JENNIFER M. SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18 WASHINGTON ST, FOXBORO, MA 02035-1021
(508) 698-0044
(508) 698-5373
Mailing address
18 WASHINGTON ST, FOXBORO, MA 02035-1021
(508) 698-0044
(508) 698-5373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030830
BMC HEALTHNET
MA
05
—
0165336
—
MA
01
—
1611585
CIGNA
MA
01
—
410399
RI BLUE CHIP
—
01
—
468086
TUFTS
MA
01
—
92334
FALLON
MA
01
—
AA30839
HPHC
MA
01
—
J25249
MABC
MA
Enumeration date
08/02/2006
Last updated
12/12/2011
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