Individual
DR. JENNIFER TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-8200
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7476
(617) 730-0194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042.0014188
VT
208000000X
Pediatrics Physician
221799
MA
2080P0205X
Pediatric Endocrinology Physician
Primary
042.0014188
VT
2080P0205X
Pediatric Endocrinology Physician
221799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010221799MA01
BCBC OF CONN
MA
05
—
2080729
—
MA
01
—
221799
CONNECTICARE
MA
01
—
34849
HEALTH NEW ENGLAND
MA
01
—
7857
HEALTHNET
MA
01
—
AA15755
PILGRIM
MA
01
—
J28024
BCBS
MA
Enumeration date
03/23/2006
Last updated
08/14/2019
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