Individual
JENNIFER THULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
67 UNION STREET, SUITE 505, NATICK, MA 01760
(508) 651-3400
Mailing address
67 UNION STREET, SUITE 505, NATICK, MA 01760
(508) 651-3400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000371
HARVARD PILGRIM HEALTH
MA
05
—
6195318
—
MA
01
—
706007
TUFTS HEALTH PLAN
MA
01
—
J02299
BLUE SHIELD OF MA
—
Enumeration date
11/08/2006
Last updated
05/18/2012
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