Dr. Jeffrey P Fennelly, MD
General Practice in Ayer, Massachusetts
1760770531- Practice location
- 42 Patton RD, Ayer, MA 01434-3802
- Phone
- 781-555-1212
- Fax
- —
- Last updated
- May 17, 2021
Jeffrey Paul Fennelly is a General Practice based in Ayer, MA. Jeffrey Paul Fennelly practices in Ayer, MA and has the professional credentials of MD. The NPI Number for Jeffrey Paul Fennelly is 1760770531 and holds a License No. 301389 (NY). The current practice location address for Jeffrey Paul Fennelly is 42 Patton RD, Ayer, MA 01434-3802 and can be reached out via phone at 781-555-1212.
Provider Profile Details
- NPI Number
- 1760770531
- Provider Name
- Jeffrey Paul Fennelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 42 Patton RD, Ayer, MA 01434-3802
- Phone Number
- 781-555-1212
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 14, 2011
- Last Update Date
- May 17, 2021
- Certification Date
- May 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Patton RD
Ayer, MA 01434-3802 - City
- Ayer
- State
- Massachusetts
- Zip
- 01434-3802
- Phone Number
- 781-555-1212
Provider Business Mailing Address Details
- Address
- 42 Patton RD
Ayer, MA 01434-3802 - City
- Ayer
- State
- MA
- Zip
- 01434-3802
- Phone Number
- 781-555-1212
License Information
- License Number
- 301389
- License State
- NY
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jeffrey P Fennelly, MD?
The NPI number of Dr. Jeffrey P Fennelly, MD is 1760770531. It was assigned on July 14, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeffrey P Fennelly, MD?
Dr. Jeffrey P Fennelly, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NY under license number 301389.
Where does Dr. Jeffrey P Fennelly, MD practice?
The practice location is 42 Patton RD, Ayer, MA 01434-3802. The office can be reached at 781-555-1212 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760770531 directly on the NPPES registry website.