Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER A MULLIGAN, MD
Active Sole ProprietorDR. JENNIFER A MULLIGAN, MD is a Obesity Medicine healthcare provider located in BOSTON, Massachusetts. NPI 1700347242 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · BOSTON, MA
Registration Details
- NPI Number
- 1700347242
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2019 (7.4099027486138 yrs)
- Last Updated
- Jan 27, 2026
- Licenses
-
1015157 (MA)334136 (NY)125.074597 (IL)80087 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 FRUIT STBOSTON, MA, 021142696Browse MA providers · Browse ZIP 02114
- Phone
- 6177262000
- Primary Specialty
-
Obesity Medicine
207QB0002X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 2083B0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.