Provider Demographics
NPI:1215990239
Name:WATTS, JANE MEINKOTH (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:MEINKOTH
Last Name:WATTS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:81 OLD COLONY WAY
Mailing Address - Street 2:SUITE D
Mailing Address - City:ORLEANS
Mailing Address - State:MA
Mailing Address - Zip Code:02653-3278
Mailing Address - Country:US
Mailing Address - Phone:508-240-1141
Mailing Address - Fax:508-240-3031
Practice Address - Street 1:81 OLD COLONY WAY
Practice Address - Street 2:SUITE D
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3278
Practice Address - Country:US
Practice Address - Phone:508-240-1141
Practice Address - Fax:508-240-3031
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2010-03-24
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Provider Licenses
StateLicense IDTaxonomies
MA75731207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC50504Medicare UPIN