Provider Demographics
NPI:1821131160
Name:JANE H JOINER MDPC
Entity Type:Organization
Organization Name:JANE H JOINER MDPC
Other - Org Name:PRIMARY CARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-786-0707
Mailing Address - Street 1:PO BOX 3589
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01705-3589
Mailing Address - Country:US
Mailing Address - Phone:508-786-0707
Mailing Address - Fax:508-786-0770
Practice Address - Street 1:488 BOSTON POST RD E
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3604
Practice Address - Country:US
Practice Address - Phone:508-786-0707
Practice Address - Fax:508-786-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9784519Medicaid
M20634Medicare PIN