Individual
JENNIFER L PFAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
235840
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085173A
—
MA
05
—
2160161
—
MA
Enumeration date
02/17/2007
Last updated
02/16/2021
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