Individual provider · Type 1 NPI

Jennifer Van Der Pol, MD

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

NPI number 1992158158 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Call (617) 525-7921 Map

Mailing address

1282 Boylston St Unit 527
Boston, MA 02215-4456

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X268067 (MA)

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 1992158158

Jennifer Van Der Pol, MD's National Provider Identifier is 1992158158, issued on Jul 22, 2016. 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 Jul 22, 2016.