Individual
PRUDENCE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 THORNDIKE ST, CAMBRIDGE, MA 02141-1715
(617) 547-3407
(617) 252-0099
Mailing address
25 BREWSTER ST, CAMBRIDGE, MA 02138-2203
(617) 547-3407
(617) 252-0099
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
47174
MA
2084P0800X
Psychiatry Physician
47174
MA
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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