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Individual

JENNIFER L TAM

Active
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Individual

JENNIFER L TAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
154342
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
154342
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-09588
EVERCARE
01
1477516516
BCBS
05
3192245
MA
01
409588
TRICARE NORTH
01
AA48828
HARVARD PILGRIM
Enumeration date
04/10/2006
Last updated
02/26/2026
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