Judelson, Andrew L

Judelson, Andrew L is an sole proprietor health care provider with primary practice located at 311 Service Rd , East Sandwich MA 02537-1370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Judelson, Andrew L can be contacted via phone (508) 833-4174.

Contact Information

Primary practice address
311 Service Rd East Sandwich MA 02537-1370
Phone: (508) 833-4174
Fax: (508) 833-4202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 153737 Massachusetts

Profile Details

NPI number 1568467421
LBN Legal business name Judelson, Andrew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 17th, 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 1568467421 NPPES
Massachusetts MEDICAID 0141356

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