Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 226380 | MA |
N | 207R00000X | Internist | 226380 | MA |
N | 111NI0900X | Internist | 226380 | MA |
NPI | 1548299530 |
---|---|
Provider Name | Judy L. Brasier |
First Address | Fall River, MA 02721-1733 |
Second Address | Wellesley, MA 02481-5506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 24/04/2016 |