Provider Demographics
NPI:1467541342
Name:GRIFFITHS, JEFFREY KENNEDY (MD MPH&TM)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:KENNEDY
Last Name:GRIFFITHS
Suffix:
Gender:M
Credentials:MD MPH&TM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 AMHERST RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2102
Mailing Address - Country:US
Mailing Address - Phone:617-636-6941
Mailing Address - Fax:617-636-4017
Practice Address - Street 1:750 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-6941
Practice Address - Fax:617-636-4017
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56966207RI0200X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics