Individual
AGNES A JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 CUMMINGS CTR, SUITE 126Q, BEVERLY, MA 01915-6115
(978) 524-8181
(978) 524-9868
Mailing address
100 CUMMINGS CTR, SUITE 126Q, BEVERLY, MA 01915-6115
(978) 524-8181
(978) 524-9868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041759A
—
MA
Enumeration date
05/30/2006
Last updated
01/07/2016
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