NPI 1275824948 · live from the CMS NPI Registry
Jessica Marie Addison, MD
Pediatrics, Adolescent Medicine in Boston, MA. National Provider Identifier 1275824948, active.
NPI record
| NPI | 1275824948 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 333 Longwood Ave, Boston, MA 02115 |
| Practice phone | 617-355-7181 |
| Mailing address | 1090 Beacon St Apt 2d, Brookline, MA 02446 |
| Enumerated | April 28, 2011 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | md042125 (DC) |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 272429 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.