Provider Demographics
NPI:1144320912
Name:FLEISCHMAN, JAN E (MSN, RN, APN, BC)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:E
Last Name:FLEISCHMAN
Suffix:
Gender:F
Credentials:MSN, RN, APN, BC
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Mailing Address - Street 1:110 FRANCIS ST
Mailing Address - Street 2:DIVISION OF NEUROSURGERY SUITE 3 B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-7575
Mailing Address - Fax:617-632-0949
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:DIVISION OF NEUROSURGERY SUITE 3 B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-7575
Practice Address - Fax:617-632-0949
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA155633363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000315301Medicare PIN