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NPI Code Detail

MEDICARE: DR. JUDY THERESA PLATT MD

MEDICARE: DR. JUDY THERESA PLATT MD
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
1207Q00000XFamily Medicine Physician232927MA

General Provider Information

NPI Number : 1467497917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY THERESA PLATT MD
Provider Business Mailing Address
First Line : 195 CANAL ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-6701
Country : US
Telephone Number : 781-338-0500
Fax Number :
Provider Business Practice Location Address
First Line : 195 CANAL ST
Second Line :
City : MALDEN
State : MA
Zip : 02148-6701
Country : US
Telephone Number : 781-338-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 02/29/2012

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Directions to “ DR. JUDY THERESA PLATT MD” Practice Location

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