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Contact Information

CHAD J JESSUP, MD
221 LONGWOOD AVE
BOSTON, MA02115-5804
 Phone: 617-732-4918
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CHAD J JESSUP · (Male)

NPI # 1659527190
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2008
Last updated 10/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 242817
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • FAULKNER HOSPITAL - (Acute Care)
    1153 CENTRE STREET
    BOSTON, MA 02130
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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