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Individual

JUDITH P LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
575 BOYLSTON ST, 6TH FL, BOSTON, MA 02116-3607
(617) 414-9600
(617) 262-7015
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206550
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110092343A
MA
Enumeration date
05/27/2006
Last updated
01/13/2021
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