Individual
DR. JUDITH ANN WALIGUNDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 PARKER HILL AVE, SUITE #450, ROXBURY CROSSING, MA 02120-2847
(617) 754-5910
(617) 754-5950
Mailing address
125 PARKER HILL AVE, SUITE #450, ROXBURY CROSSING, MA 02120-2847
(617) 754-5910
(617) 754-5950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41966
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128457
—
MA
01
—
04-01335
UNITED HEALTH CARE
—
01
—
62111
HARVARD PILGRIM HEALTH CA
—
Enumeration date
07/20/2005
Last updated
07/08/2007
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