Individual
JEAN JAOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 CAPITAL DRIVE, WEST SPRINGFIELD, MA 01089-1359
(413) 794-6411
(413) 794-6685
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-36734
IA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
277090
MA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD-36734
IA
Other
Enumeration date
09/15/2006
Last updated
01/17/2020
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