Individual provider · NPI-1

Jessica Marie Addison, MD

Pediatrics, Adolescent Medicine · Boston, MA

NPI number1275824948
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1275824948
Entity type
Individual (NPI-1)
Name
Jessica Marie Addison
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2011
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine272429MAYes
208000000X Pediatricsmd042125DC

Practice location

333 Longwood Ave
Boston, MA 02115-5711

Phone 617-355-7181

Mailing address

1090 Beacon St Apt 2d
Brookline, MA 02446-3966

Phone 202-549-4001

Other practice locations

111 Michigan Ave Nw
Washington, DC 20010-2916

Phone 202-476-2178 · Fax 202-476-3630

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