Individual
ANN L ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 MUNSON MEETING WAY STE K, CHATHAM, MA 02633-1992
(508) 945-0022
Mailing address
60 MUNSON MEETING WAY STE K, CHATHAM, MA 02633-1992
(508) 945-0022
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
76776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116352
—
MA
01
—
J13466
BC/BS
MA
Enumeration date
08/20/2006
Last updated
09/20/2007
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