Provider Demographics
NPI:1417392440
Name:HU, JESSICA MONIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MONIQUE
Last Name:HU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:101 MERRIMAC ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-4724
Mailing Address - Country:US
Mailing Address - Phone:617-724-1100
Mailing Address - Fax:617-724-1100
Practice Address - Street 1:101 MERRIMAC ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4724
Practice Address - Country:US
Practice Address - Phone:617-724-1100
Practice Address - Fax:617-724-1100
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2016-08-14
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Provider Licenses
StateLicense IDTaxonomies
MA266001207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine