Individual
JEANNE M ENNEGUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2926
(978) 532-2800
(978) 977-4491
Mailing address
2 ESSEX CENTER DR, PEABODY, MA 01960-2926
(978) 532-2800
(978) 977-4491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154749
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016135
NEIGHBORHOOD HEALTH
MA
01
—
1156513-002
CIGNA
MA
05
—
3175855
—
MA
01
—
3214513
AETNA
MA
01
—
775979
TUFTS
MA
01
—
J18664
BLUE CROSS
MA
Enumeration date
05/03/2006
Last updated
01/07/2021
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