Individual
DR. GEORGETTE JEANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1525 BLUE HILL AVE, FIRST FLOOR, MATTAPAN, MA 02126-1702
(617) 298-0156
(617) 296-2979
Mailing address
1525 BLUE HILL AVE, POBOX 260368, MATTAPAN, MA 02126-1702
(617) 298-0156
(617) 296-2979
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
44266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001717
NEIGHBORHOOD HLTH CARE
MA
05
—
2085259
—
MA
01
—
44266
TUFTS ASSOCIATED HEALTH
MA
01
—
66984UH
HARVARD PILGRIM
MA
01
—
84288
USH AETNA
MA
01
—
C15090
BCBS
MA
01
—
CA0538
RAILROAD MEDICARE
MA
Enumeration date
01/22/2007
Last updated
07/08/2007
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