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Individual

MS. JUDITH ANN LOONIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14 PROSPECT ST, MILFORD, MA 01757-3003
(508) 473-1190
(508) 482-5416
Mailing address
9 INDUSTRIAL RD, STE 5, MILFORD, MA 01757-3736
(508) 473-1480
(508) 473-1210

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1121
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57179
FALLON HEALTH PLAN
MA
Enumeration date
09/20/2006
Last updated
10/17/2016
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