Provider Demographics
NPI:1851494397
Name:KESSELHEIM, JENNIFER COHN (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:COHN
Last Name:KESSELHEIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MICHELLE
Other - Last Name:COHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:44 BINNEY STREET
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE D3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-2423
Mailing Address - Fax:617-632-4410
Practice Address - Street 1:44 BINNEY STREET
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE D3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-2423
Practice Address - Fax:617-632-4410
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2144532080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology