Fokum, Judith G

Fokum, Judith G is an individual health care provider with primary practice located at 81 Highland Ave , Salem MA 01970-2714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fokum, Judith G can be contacted via phone (978) 741-1200.

Contact Information

Primary practice address
81 Highland Ave Salem MA 01970-2714
Phone: (978) 741-1200
Fax: (978) 741-1200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219709 Massachusetts

Profile Details

NPI number 1659352813
LBN Legal business name Fokum, Judith G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 8th, 2007 - about 18 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 1659352813 NPPES
Massachusetts Other 470051 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2074541 TUFTS HEALTH PLAN
Massachusetts Other J27181 TUFTS HEALTH PLAN

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