Individual
JOHN GRAYDON KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 AVON ST, WAKEFIELD, MA 01880-2310
(781) 245-0402
Mailing address
33 AVON ST, P O BOX 430, WAKEFIELD, MA 01880-2310
(781) 245-0402
(781) 246-0847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40277
MA
Other
Enumeration date
08/29/2006
Last updated
09/01/2011
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