Individual
CAROLINE B MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
830 OAK ST, SUITE 223E-GOOD SAMARITAN WOMEN'S HEALTH, BROCKTON, MA 02301-1168
(508) 427-2222
(508) 897-4773
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOS, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
181344
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379531
—
MA
Enumeration date
11/07/2005
Last updated
03/14/2025
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