Provider Demographics
NPI:1710248976
Name:ALBERTI, JENNIFER (LICAC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ALBERTI
Suffix:
Gender:
Credentials:LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 WOOD RD STE 401
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-2515
Mailing Address - Country:US
Mailing Address - Phone:617-213-0057
Mailing Address - Fax:
Practice Address - Street 1:140 WOOD RD STE 401
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-2515
Practice Address - Country:US
Practice Address - Phone:617-213-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1572171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist