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Individual

KARA K ERDODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
90 LIBBEY PARKWAY, FAMILY MEDICINE, WEYMOUTH, MA 02189
(781) 682-6030
(781) 682-0695
Mailing address
90 LIBBEY PARKWAY, FAMILY MEDICINE, WEYMOUTH, MA 02189
(781) 682-6030
(781) 682-0695

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201546
MA
363LF0000X
Family Nurse Practitioner
Primary
201546
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0369811
MA
01
C345
HARVARD PILGRIM
MA
01
NP3342
BLUE CROSS
MA
Enumeration date
03/17/2006
Last updated
10/26/2020
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