Individual
KAREN DUDICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 WASHINGTON ST, MOB GREEN 567, NEWTON, MA 02462-1650
(617) 969-1723
Mailing address
1625 COMMONWEALTH AVE, #22, BRIGHTON, MA 02135-4235
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
210889
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104270
—
MA
01
—
AA38420
HPHC
MA
01
—
J28730
BCBSMA
MA
Enumeration date
04/26/2006
Last updated
07/08/2007
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