Organization
JIRI R. KUDLICKA, MD
Active
Organization
JIRI R. KUDLICKA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIRI R KUDLICKA MD (OWNER)
(508) 947-8737
Entity
Organization
Contact information
Practice address
63 ANDERSON AVE, MIDDLEBORO, MA 02346-1537
(508) 947-8737
(508) 947-8493
Mailing address
63 ANDERSON AVE, MIDDLEBORO, MA 02346-1537
(508) 947-8737
(508) 947-8493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M15626
BCBS
MA
Enumeration date
10/31/2007
Last updated
10/31/2007
Update your record
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