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Individual

ODALYS MACHIN CROTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
374 ELM ST, GARDNER, MA 01440-3926
(978) 630-3400
(978) 630-3408
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
159715
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
159715
MA
207RP1001X
Pulmonary Disease Physician
Primary
159715
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
159715
MA

Other

Enumeration date
09/16/2005
Last updated
11/20/2020
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