Individual
JESSICA ERIN MCGOVERN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 WILLARD ST, MILTON PEDIATRIC ASSOCIATES, QUINCY, MA 02169-1200
(617) 472-6100
(617) 770-3758
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221793
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469821
TUFTS HEALTH PLAN
MA
01
—
J28075
BCBS OF MA
MA
Enumeration date
10/28/2005
Last updated
07/08/2007
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