Individual
IDARA UDEME NDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 HARRISON AVE, BOSTON, MA 02118-2905
(617) 638-8000
Mailing address
800 HARRISON AVE, BOSTON, MA 02118-2905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1063115707
MA
Other
Enumeration date
03/22/2023
Last updated
06/18/2023
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