MEDICARE: JUDITH A. HONDO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	55518	MA
2	202K00000X	Phlebology Physician	55518	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	055518	OTHER		TUFTS TOTAL HEALTH PLAN
2	130732	OTHER		HARVARD PILGRIM PPO
3	27531	OTHER		CHILDREN'S MED SECURITY
4	A59347	OTHER		FIRST SENIORITY
5	055518	OTHER		TUFTS
6	0907879	OTHER	MA	HEALTHSOURCE
7	J07528	OTHER		HMO BLUE/BLUE CHOICE
8	055518	OTHER		TUFTS COMMONWEALTH PPO
9	07-00694	OTHER		UNITED HEALTHCARE
10	0016766	OTHER		NEIGHBORHOOD HEALTH
11	0907879	OTHER		CIGNA HEALTH CARE
12	055518	OTHER		TUFTS SECURE HORIZONS
13	130732	OTHER		HARVARD PILGRIM
14	130732	OTHER		HARVARD PILGRIM POS
15	J07528	OTHER		BS BLUE CARE ELECT
16	J07528	OTHER		BLUE SHIELD INDEMNITYY

General Provider Information

NPI Number	:	1386641835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH A. HONDO M.D.

Provider Business Mailing Address
First Line	:	45 COLPITTS ROAD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493
Country	:	US
Telephone Number	:	781-899-7778
Fax Number	:	781-899-0475

Provider Business Practice Location Address
First Line	:	45 COLPITTS ROAD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493
Country	:	US
Telephone Number	:	781-899-7778
Fax Number	:	781-899-0475

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	02/12/2019

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