Individual
JEAN BAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
195 CANAL ST, MALDEN, MA 02148-6701
(617) 665-1000
Mailing address
1493 CAMBRIDGE ST STE 200, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
258342
MA
390200000X
Student in an Organized Health Care Education/Training Program
OT013953
PA
Other
Enumeration date
06/20/2011
Last updated
02/19/2020
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