Individual
JENNIFER LUO POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 321-3422
(781) 321-1863
Mailing address
578 MAIN ST, MALDEN, MA 02148-3900
(781) 321-3422
(781) 321-1863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
256152
MA
Other
Enumeration date
06/05/2013
Last updated
02/07/2017
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