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Individual
DR. JOSEPH AUDETTE
Active
Individual
DR. JOSEPH AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
81464
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
81464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140407
—
MA
01
—
759724
TUFTS HEALTH PLAN
MA
01
—
J31336
BCBS MA
MA
Enumeration date
12/02/2005
Last updated
02/19/2021
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