Individual
DR. JEANNE L MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND442 PEDIATRIC CRITICAL CARE, BOSTON, MA 02114-2696
(617) 724-9040
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
220949
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
220949
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78751
TUFTS HEALTH PLAN
MA
01
—
J29146
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
02/14/2019
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