Individual
JUDITH M HARRISON BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
77 WARREN ST, ROOM 339, BRIGHTON, MA 02135-3601
(617) 562-5482
Mailing address
77 WARREN ST, ROOM 339, BRIGHTON, MA 02135-3601
(617) 562-5482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
164610
MA
Other
Enumeration date
08/22/2007
Last updated
09/22/2015
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