Individual
DR. JOSEPH AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-8817
(617) 421-2226
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-8817
(617) 421-2226
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
81464
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
81464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140407
—
MA
01
—
759724
TUFTS HEALTH PLAN
MA
01
—
J31336
BCBS MA
MA
Enumeration date
12/02/2005
Last updated
02/19/2021
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