Waligunda, Judith Ann

Waligunda, Judith Ann is an sole proprietor health care provider with primary practice located at 125 Parker Hill Ave Suite #450, Roxbury Crossing MA 02120-2847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Waligunda, Judith Ann can be contacted via phone (617) 754-5910.

Contact Information

Primary practice address
125 Parker Hill Ave Suite #450 Roxbury Crossing MA 02120-2847
Phone: (617) 754-5910
Fax: (617) 754-5950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41966 Massachusetts

Profile Details

NPI number 1003815150
LBN Legal business name Waligunda, Judith Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Jul 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 1003815150 NPPES
Other 62111 HARVARD PILGRIM HEALTH CA
MEDICAID 0128457 HARVARD PILGRIM HEALTH CA
Other 04-01335 HARVARD PILGRIM HEALTH CA

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