Provider Demographics
NPI:1629187893
Name:AUCOIN, JENNIFER M (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:AUCOIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:483B GREAT NECK RD S
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-3483
Mailing Address - Country:US
Mailing Address - Phone:508-477-6967
Mailing Address - Fax:508-477-0156
Practice Address - Street 1:483A GREAT NECK RD S
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3707
Practice Address - Country:US
Practice Address - Phone:508-477-6967
Practice Address - Fax:508-477-0607
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-07-01
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Provider Licenses
StateLicense IDTaxonomies
ME016527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ8HD457Medicare ID - Type UnspecifiedID NUMBER FOR HSZ168
AZI27026Medicare UPIN
AZ8HD458Medicare ID - Type UnspecifiedID NUMBER FOR HSZ169
AZ8HD458Medicare ID - Type UnspecifiedID NUMBER FOR HSZ169