Doctor Name: | DR. GEORGETTE JEANTY |
NPI Number: | 1164576658 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 44266 |
Business Practice Address: | 1525 Blue Hill Ave First Floor Mattapan, MA - 021261702 |
Business Phone Number: | 6172980156 |
Business Fax Number: | 6172962979 |
Mailing Address: | 1525 Blue Hill Ave, Pobox 260368 MATTAPAN |
State: | MA |
Postal Code: | 021261702 |
Phone Number: | 6172980156 |
Fax Number: | 6172962979 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0000X |
License Number: | 44266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology |
Taxonomy Definition: | An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |