Individual
DR. JENNIFER BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
CAMBRIDGE HOSPITAL, 1493 CAMBRIDGE STREET, CAMBRIDGE, MA 02139-2137
(617) 665-2555
(617) 665-3598
Mailing address
CAMBRIDGE HOSPITAL, 1493 CAMBRIDGE STREET, CAMBRIDGE, MA 02139-2137
(617) 665-2555
(617) 665-3598
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S400166574
PTAN
MA
Enumeration date
07/05/2011
Last updated
05/24/2019
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