Provider Demographics
NPI:1740575109
Name:HEDDE, JAMES JEFFREY (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JEFFREY
Last Name:HEDDE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2639 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1727
Mailing Address - Country:US
Mailing Address - Phone:401-400-2699
Mailing Address - Fax:401-406-2699
Practice Address - Street 1:15 PAYSON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1393
Practice Address - Country:US
Practice Address - Phone:508-772-1438
Practice Address - Fax:508-772-1439
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA259434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine