Individual
DR. JACQUELINE KAREN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 LANCASTER ST, CAMBRIDGE, MA 02140-2839
(914) 522-5666
Mailing address
30 LANCASTER ST, CAMBRIDGE, MA 02140-2839
(914) 522-5666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78385
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02149008
—
MA
Enumeration date
09/27/2006
Last updated
08/01/2007
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