Individual
AMY CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3718
(978) 263-1131
Mailing address
321 MAIN ST, ACTON, MA 01720-3718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220672
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060990
—
MA
Enumeration date
04/06/2006
Last updated
07/08/2007
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