Individual
JENNIFER L MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, 12TH FLOOR DERMATOLOGY, NEW YORK, NY 10032-3729
(212) 305-0707
Mailing address
321 W 54TH ST, NUMBER 107, NEW YORK, NY 10019-5165
(212) 305-0707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
234852
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00773620
RAILROAD MEDICARE
DC
Enumeration date
05/13/2008
Last updated
03/11/2010
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