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Individual

JEAN MARIE HOUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D. PHD.

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3068
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
212010
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0142557
MA
Enumeration date
11/23/2005
Last updated
11/05/2020
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