Individual
DR. JUDITH G FOKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 741-1200
(978) 741-1200
Mailing address
228 WINN ST, BURLINGTON, MA 01803-2630
(978) 741-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219709
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074541
—
MA
01
—
470051
TUFTS HEALTH PLAN
MA
01
—
J27181
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
08/08/2007
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