Individual
DR. JASMIN F BHATHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2926
(978) 977-4300
(978) 977-4313
Mailing address
2 ESSEX CENTER DR, PEABODY, MA 01960-2926
(978) 977-4300
(978) 977-4313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
82921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3191729
—
MA
01
—
J19587
BLUE CROSS BLUE SHIEL
MA
Enumeration date
11/16/2005
Last updated
01/06/2021
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