Provider Demographics
NPI:1952318412
Name:HALLOWELL, JENNIFER A (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:A
Last Name:HALLOWELL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:354 BIRNIE AVENUE
Mailing Address - Street 2:BAYSTATE OB GYN GROUP INC
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107
Mailing Address - Country:US
Mailing Address - Phone:413-794-8484
Mailing Address - Fax:413-787-5273
Practice Address - Street 1:2 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 206
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1270
Practice Address - Country:US
Practice Address - Phone:413-794-8484
Practice Address - Fax:413-794-8477
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2020-02-13
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Provider Licenses
StateLicense IDTaxonomies
MA210328207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology