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Individual

JANICE FUNK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
76 SUMMER ST, HAVERHILL, MA 01830-5814
(978) 469-1438
(978) 372-0404
Mailing address
325 MAIN ST, PO BOX 882, PLAISTOW, NH 03865-3033
(603) 382-5400
(603) 382-4283

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
6540
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0525677
MA
01
771888
TUFTS
MA
01
W05327
BLUE SHIELD MA
MA
Enumeration date
08/10/2005
Last updated
07/08/2007
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