Provider Demographics
NPI:1922040260
Name:JOINER, JANE H (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:H
Last Name:JOINER
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 1:215 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:246 MAPLE STREET
Practice Address - Street 2:CHARLES RIVER MEDICAL ASSOCIATES
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3235
Practice Address - Country:US
Practice Address - Phone:508-786-0707
Practice Address - Fax:508-786-0770
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42803207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0105228Medicaid
MAC25156OtherBLUE CROSS BLUE SHIELD
MA0105228Medicaid
C25156Medicare PIN