Provider Demographics
NPI:1386637064
Name:SCHWEITZER, JANE G (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:G
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MAIN ST
Mailing Address - Street 2:SUITE 4-5
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:243 CHARLES ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3002
Practice Address - Country:US
Practice Address - Phone:617-523-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219813207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ27133OtherBLUE CROSS BLUE SHIELD
MA000000029643OtherBMC HEALTHNET
MA1386637064Medicaid
MAAA10462OtherPILGRIM HEALTH
MA4459823OtherAETNA
MA713328OtherTUFTS
MA0402577OtherCIGNA
MAAA10462OtherPILGRIM HEALTH
MA1386637064Medicaid
MANX2887Medicare PIN