Provider Demographics
NPI:1437184587
Name:OETTINGER, JANA (MD)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:OETTINGER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 PARK WAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3270
Mailing Address - Fax:978-469-5320
Practice Address - Street 1:1 PARK WAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3270
Practice Address - Fax:978-469-5320
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA156175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ18837OtherBLUE CROSS BLUE SHIELD
MA1437184587OtherBOSTON MEDICAL CENTER
NH30465YOtherATHEM BS
MA66967OtherHARVARD PILGRIM HEALTHCA
MA0016286OtherNEIGHBORHOOD HEALTH PLAN
MA156175OtherTUFTS
MA97454901OtherNETWORK HEALTH
MA5354708OtherAETNA NON HMO
MA04-36891OtherEVERCARE
NH30011468Medicaid
MA4190576OtherCIGNA
MA110059910AMedicaid
MA1437184587OtherAETNA HMO
MAG67318Medicare UPIN
MA110059910AMedicaid