Individual
ALLISON M. LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
143 LONGWATER DR, NORWELL, MA 02061-1683
(781) 878-5200
Mailing address
143 LONGWATER RIVE, NORWELL, MA 02061-9147
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255617
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2297845
MULTI-PLAN
—
01
—
042297845
TRICARE
—
05
—
110115835A
—
MA
01
—
1366889933
BCBSMA
MA
01
—
1782498
CIGNA
—
01
—
4194779
AETNA
—
01
—
571665
TUFTS AND TMP
MA
01
—
AA499832
HARVARD PILGRIM
MA
Enumeration date
05/23/2013
Last updated
01/20/2017
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