Individual
ANNE-SOPHIE J GADENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 COURT ST, SUITE 202, PLYMOUTH, MA 02360-4329
(508) 746-5300
(508) 747-2001
Mailing address
345 COURT ST, SUITE 202, PLYMOUTH, MA 02360-4329
(508) 746-5300
(508) 747-2001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
157989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070012120
RAILROAD MEDICARE
MA
01
—
J19552
BLUE CROSS
MA
Enumeration date
12/26/2006
Last updated
11/10/2010
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