Individual
JENNIFER H LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 TER HEUN DRIVE, SUITE 300, FALMOUTH, MA 02540
(508) 540-0604
(508) 457-0129
Mailing address
90 TER HEUN DRIVE, SUITE 300, FALMOUTH, MA 02540
(508) 540-0604
(508) 457-0129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
218613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029656
BOSTON MEDICAL CENTER
MA
01
—
0038770
NEIGHBORHOOD HEALTH PLAN
—
01
—
043488655
TRICARE
—
01
—
10725539
CAQH
—
01
—
1554097001
CIGNA
—
01
—
1801833488
UNICARE
MA
05
—
2017032
—
MA
01
—
218613
MA LICENSE
—
01
—
304922
HPH
—
01
—
3268298
AETNA
—
01
—
467287
TUFTS
—
01
—
J26732
BCBS
—
01
—
LAA35789
MEDICARE
—
01
—
ML0524492A
MA CDS
—
01
—
P00050045
MEDICARE ID
MA
Enumeration date
06/01/2006
Last updated
03/07/2023
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