Provider Demographics
NPI:1457328163
Name:BROWN, JENNIFER RUTH (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RUTH
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:44 BINNEY STREET
Mailing Address - Street 2:DANA-FARBER CANCER INSTITUTE MAYER 226
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:617-632-5847
Mailing Address - Fax:617-582-7890
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA-FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-4894
Practice Address - Fax:617-582-7909
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA205260207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
205260OtherTUFTS
3600380OtherUNITED HEALTH CARE
0116471OtherCIGNA
MA2037980Medicaid
3501845OtherAETNA US HEALTHCARE
AA11935OtherHPHC DFCI ONLY
MAJ27246OtherBCBS INDEMNITY ELECT HMO
AA11935OtherHPHC DFCI ONLY
MA2037980Medicaid