Individual
JOHN W TRUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 UNION ST, WESTBOROUGH, MA 01581-5408
(508) 871-0700
(508) 616-4411
Mailing address
900 UNION ST, WESTBOROUGH, MA 01581-5408
(508) 871-0700
(508) 616-4411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77116
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100296
EVERCARE
—
01
—
042472266
ONE HEALTH PLAN
—
01
—
27004
HEALTHY START
—
01
—
3130720
MEDICAID WELFARE
—
05
—
3130720
—
MA
01
—
4666601
CIGNA HEALTH PLAN
—
01
—
5565516
AETNA US HEALTHCARE
—
01
—
784204
MVP HEALTH CARE
—
01
—
91114
FALLON COMMUNITY HEALTH P
—
01
—
934715
FIRST HEALTH
—
01
—
AA1187
HARVARD PILGRIM HEALTHCAR
—
01
—
J14750
MEDICARE B
—
Enumeration date
03/31/2006
Last updated
04/02/2018
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