Provider Demographics
NPI:1992728125
Name:AUGER, JANE A (MD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:AUGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1493 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1047
Mailing Address - Country:US
Mailing Address - Phone:781-762-8010
Mailing Address - Fax:781-762-7753
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 215
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-762-5595
Practice Address - Fax:781-762-9966
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2093472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0164852Medicaid
MAJ24530OtherBLUE SHIELD
MA209347OtherTUFTS HEALTH PLAN
MA246132OtherHARVARD PILGRIM
MA209347OtherTUFTS HEALTH PLAN
MAA33869Medicare ID - Type Unspecified