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JEFF ODIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 532-2800
(978) 977-4491
Mailing address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 532-2800
(978) 977-4491

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160253
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3194671
MA
Enumeration date
10/24/2005
Last updated
07/12/2011
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