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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JESSICA GJEDE, MD
725 ALBANY ST
SHAPIRO 8
BOSTON, MA02118-2526
 Phone: 617-638-7420
 Fax: 617-414-1363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JESSICA GJEDE · (Female)

NPI Number 1750607362
Credentials MD
Entity Individual
Enumeration date 04/08/2010
Last updated 06/06/2012 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
MA Other 244492 MASSACHUSETTS MEDICAL LICENSE
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
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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