Individual
DR. JOHN DAVID MUDROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 MAIN ST STE 101, WAKEFIELD, MA 01880-4080
(781) 620-4888
(781) 245-2602
Mailing address
888 MAIN ST STE 101, WAKEFIELD, MA 01880-4080
(781) 620-4888
(781) 245-2602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44046
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129704
—
MA
Enumeration date
10/31/2005
Last updated
02/19/2021
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