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Organization

JUDY BRASIER DO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUDY L BRASIER D.O. (PRESIDENT)
(508) 579-3452
Entity
Organization

Contact information

Practice address
200 PROVIDENCE HWY, SUITE 200, DEDHAM, MA 02026-1881
(781) 461-4543
(781) 326-2030
Mailing address
4 HILLTOP DR, MILLIS, MA 02054-1761
(508) 579-3452

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
226380
MA
261QM2500X
Medical Specialty Clinic/Center
Primary
226380
MA

Other

Enumeration date
01/22/2011
Last updated
01/22/2011
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