Individual
JUDITH A BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 RESEARCH PL, N CHELMSFORD, MA 01863-2454
(978) 788-7307
(978) 788-7890
Mailing address
20 RESEARCH PL STE 320, N CHELMSFORD, MA 01863-2455
(978) 256-1858
(978) 788-7890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
159329
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702129
—
MA
01
—
NP3404
BLUE CROSS
MA
Enumeration date
10/27/2006
Last updated
11/10/2020
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