Individual
MR. HERBERT K DDUNGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2 CLARK STREET, NORFOLK, MA 02056
(781) 788-6635
Mailing address
2 CLARK ROAD MCI-NORFOLK, NORFOLK, MA 02056-0000
(781) 788-6635
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN276069
MA
Other
Enumeration date
10/19/2009
Last updated
09/30/2011
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