Individual
JEANNE M HEIPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1105 MASSACHUSETTS AVE APT 1D, CAMBRIDGE, MA 02138-5207
(617) 576-0868
Mailing address
1105 MASSACHUSETTS AVE APT 1D, CAMBRIDGE, MA 02138-5207
(617) 576-0868
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
73660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123081
—
MA
01
—
J14772
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/22/2007
Last updated
08/27/2017
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