Dudich, Karen

Dudich, Karen is an individual health care provider with primary practice located at 2000 Washington St Mob Green 567, Newton MA 02462-1650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Dudich, Karen can be contacted via phone (617) 969-1723.

Contact Information

Primary practice address
2000 Washington St Mob Green 567 Newton MA 02462-1650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 210889 Massachusetts

Profile Details

NPI number 1467418541
LBN Legal business name Dudich, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467418541 NPPES
Massachusetts Other AA38420 HPHC
Massachusetts Other J28730 HPHC
Massachusetts MEDICAID 2104270 HPHC

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