Individual
DR. JOHN F DMOCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 TEATICKET HWY, UNIT 1B, TEATICKET, MA 02536-5671
(508) 548-8626
(508) 548-0260
Mailing address
270 TEATICKET HWY, UNIT 1B, TEATICKET, MA 02536-5671
(508) 548-8626
(508) 548-0260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39343
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149115000
MAGELLAN
MA
01
—
713643
TUFTS
MA
01
—
L02012
BLUE CROSS BLUE SHEILD
MA
Enumeration date
07/07/2005
Last updated
12/09/2008
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