Individual
DR. MICHELE K MUDGETT
Active
Individual
DR. MICHELE K MUDGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51499
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016424
NHP
MA
01
—
042297845
TRICARE
MA
05
—
2090643
—
MA
01
—
4218611
AETNA
MA
01
—
62253
HARVARD PILGRIM
MA
01
—
766913
TUFTS
MA
01
—
B10353601
CIGNA
MA
01
—
J02498
BCBS
MA
Enumeration date
11/16/2005
Last updated
01/21/2014
Update your record
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