Provider Demographics
NPI:1255331336
Name:PALMER, JEFFREY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PAUL
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:329 CONWAY ST
Mailing Address - Street 2:GREENFIELD HEALTH CENTER
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1521
Mailing Address - Country:US
Mailing Address - Phone:413-774-6301
Mailing Address - Fax:413-772-3314
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREENFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:413-774-6528
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2015-11-03
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Provider Licenses
StateLicense IDTaxonomies
MA72936207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2329771OtherAETNA
MA24191OtherHEALTH NEW ENGLAND
MAE76206OtherHARVARD PILGRIM HEALTH PLAN
MAJ10815OtherBLUE CROSS & BLUE SHIELD
MA1293391OtherFALLON COMMUNITY HEALT HPLAN
MA000000023578OtherBOSTON MEDICAL CENTER HEALTHNET PLAN
MA491530OtherUS FAMILY HEALTH PLAN
MA729361OtherCONNECTICARE
MA10272501OtherCIGNA
MA2211709 03OtherUNITED HEALTHCARE
MA3066118Medicaid
MAE76206OtherHARVARD PILGRIM HEALTH PLAN
MA3066118Medicaid