Individual
DR. JUDITH GILMARTIN PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
949 CENTRE ST, NEWTON, MA 02459-1235
(617) 519-6099
Mailing address
949 CENTRE ST, NEWTON, MA 02459-1235
(617) 519-6099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47735
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187127
MASSHEALTH PROVIDER NUMBE
MA
Enumeration date
05/27/2005
Last updated
03/29/2016
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