Individual
DR. JENNIFER AITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 10, BOSTON, MA 02115-5724
(617) 355-7025
Mailing address
300 LONGWOOD AVE, FEGAN 10, BOSTON, MA 02115-5724
(617) 355-7025
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
254961
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/03/2010
Last updated
02/08/2015
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