Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2549 | MA |
NPI | 1215923214 |
---|---|
Provider Name | Dr. Margaret Lisle Hudson |
First Address | Florence, MA 01062-1281 |
Second Address | Florence, MA 01062-1281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U85845 | (02) | MA |