Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 21942 | MA |
N | 1223E0200X | Endodontist | 7786 | NC |
NPI | 1124193214 |
---|---|
Provider Name | Dr. Judy D Mcintyre |
First Address | Franklin, MA 02038-2391 |
Second Address | Franklin, MA 02038-2391 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 30/08/2016 |