Individual
STEPHEN A JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9400
(978) 287-9408
Mailing address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9400
(978) 287-9408
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50863
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016159
NEIGHBORHOOD HEALTH
MA
01
—
1202094
UNITED HEALTHCARE
MA
01
—
4019954
AETNA
MA
05
—
6186866
—
MA
01
—
702904
TUFTS
MA
01
—
7793
HARVARD PILGRIM
MA
01
—
B10207702
CIGNA
MA
01
—
J03363
BLUE CROSS
MA
Enumeration date
01/05/2006
Last updated
02/18/2021
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