Provider Demographics
NPI:1629395991
Name:ALBERT, JANINE CLAIRE (MD)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:CLAIRE
Last Name:ALBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 WASHINGTON ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-1835
Mailing Address - Country:US
Mailing Address - Phone:860-839-3419
Mailing Address - Fax:
Practice Address - Street 1:57 PROSPECT ST UNIT 1
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-4396
Practice Address - Country:US
Practice Address - Phone:508-825-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA257861207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine