Individual
DR. JEANNE M ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7777
(508) 860-7055
Mailing address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7962
(508) 796-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79383
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3126749
—
MA
Enumeration date
11/27/2005
Last updated
03/17/2023
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