Provider Demographics
NPI:1235376922
Name:CARMODY, JILL N (MD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:N
Last Name:CARMODY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:SUITE 462
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-964-1050
Mailing Address - Fax:617-964-6449
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:SUITE 462
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-964-1050
Practice Address - Fax:617-964-6449
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2012-07-17
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Provider Licenses
StateLicense IDTaxonomies
MA251238207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology