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Individual

BRIDGET N. BABICH-WYDYSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 BOSTON MEDICAL CENTER PLACE, C500, BOSTON, MA 02118
(617) 638-8609
(617) 638-8607
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6896
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110149706A
MA
Enumeration date
11/01/2018
Last updated
05/16/2024
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