Individual
DR. JACQUELYN A. HEDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CAMPUS DRIVE, SUITE 108, SCARBOROUGH, ME 04074-9308
(207) 396-7600
(207) 396-7986
Mailing address
P.O. BOX 911, BRATTLEBORO, VT 05302
(207) 396-7600
(207) 396-7986
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
13509
ME
207RH0003X
Hematology & Oncology Physician
13509
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030520
ANTHEM BCBS
ME
01
—
2017782
AETNA HMO
ME
05
—
288720099
—
ME
01
—
5656679
AETNA
ME
01
—
6628849
CIGNA
ME
Enumeration date
01/30/2006
Last updated
10/03/2018
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