Provider Demographics
NPI:1538320056
Name:NEUWALDER, JENNIFER M (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:NEUWALDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:875 MASSACHUSETTS AVE STE 45
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3067
Mailing Address - Country:US
Mailing Address - Phone:617-335-2747
Mailing Address - Fax:617-335-2747
Practice Address - Street 1:875 MASSACHUSETTS AVE STE 45
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3067
Practice Address - Country:US
Practice Address - Phone:617-335-2747
Practice Address - Fax:617-335-2747
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2020-08-10
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Provider Licenses
StateLicense IDTaxonomies
MA2367862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry