Individual provider · Type 1 NPI

Jimena Tatiana Hathaway, MD, MPH

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1053182691 Active

Practice location

243 Charles St
Boston, MA 02114-3002

Call (617) 523-7900 Map

Mailing address

25 Ellsmore Ter
Braintree, MA 02184-5505

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053182691

Jimena Tatiana Hathaway, MD, MPH's National Provider Identifier is 1053182691, issued on Jan 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 27, 2024.