Provider Demographics
NPI:1932197282
Name:SEMAAN, J JEFFERY (MD)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:JEFFERY
Last Name:SEMAAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27 CENTENNIAL DR
Mailing Address - Street 2:INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7901
Mailing Address - Country:US
Mailing Address - Phone:978-531-7677
Mailing Address - Fax:978-531-7690
Practice Address - Street 1:27 CENTENNIAL DR
Practice Address - Street 2:INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7901
Practice Address - Country:US
Practice Address - Phone:978-531-7677
Practice Address - Fax:978-531-7690
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2010-09-22
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Provider Licenses
StateLicense IDTaxonomies
MA75365207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3097773Medicaid
MA3097773Medicaid
F35772Medicare UPIN