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Individual

JON JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1050
Mailing address
345 GARFIELD RD, CONCORD, MA 01742-4906
(781) 937-4550

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43677
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0111716
MA
Enumeration date
03/17/2006
Last updated
04/18/2008
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