Individual provider · Type 1 NPI
Jacqueline Deeble, MD
General Practice Physician · Randolph, MA
NPI number
1386917557
Active
Practice location
33 Clark St
Randolph, MA 02368-3611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 018388 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1386917557
Jacqueline Deeble, MD's National Provider Identifier is 1386917557, issued on Feb 17, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Randolph, MA. The record was last updated on Feb 17, 2012.