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Individual

JAMES RODERICK MACDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
340 THOMPSON RD, WEBSTER, MA 01570-1509
(508) 943-2600
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2310388
MA

Other

Enumeration date
07/07/2016
Last updated
09/30/2016
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