National Provider Identifier Database

JESSICA K CREEDON, MD – NPI #1306145172
Pediatric Emergency Medicine

A pediatrician who has special qualifications to manage emergencies in infants and children.


Contact Information

JESSICA K CREEDON, MD
300 LONGWOOD AVE
BOSTON, MA02115-5724
Phone: 617-355-6000
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 2080P0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for JESSICA K CREEDON

NPI Number 1306145172
Credentials MD
Entity Individual
Enumeration date 03/19/2011
Last updated 12/31/2019 - About 6 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 257923
Hospital affiliation n/a

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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