Puncochar, Julie M

Puncochar, Julie M is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Puncochar, Julie M can be contacted via phone (617) 629-6000.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Fax: (617) 629-6070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55951 Massachusetts

Profile Details

NPI number 1821078825
LBN Legal business name Puncochar, Julie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 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 1821078825 NPPES
Massachusetts MEDICAID 3028402
Massachusetts Other 202166
Massachusetts Other 055951
Massachusetts Other J07092
Massachusetts Other 0027421

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