Individual
MARIE DUPIC-WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1230 BRIDGE ST, LOWELL, MA 01850
(978) 453-3022
(978) 453-9330
Mailing address
1230 BRIDGE ST, LOWELL, MA 01850
(978) 453-3022
(978) 453-9330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3020789
—
MA
01
—
J06387
BLUE SHIELD
MA
Enumeration date
12/19/2006
Last updated
12/30/2014
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