Woudelyne Jean
Geriatric Medicine
909 Sumner St
Stoughton
, Massachusetts 02072-3396
Woudelyne Jean
Geriatric Medicine
909 Sumner St
Stoughton
, Massachusetts 02072-3396
(774) 274-2563
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Woudelyne Jean
- 56 Galen St
- Brockton, MA
- Zip : 02302-3336
- Phone : (774) 274-2563
Second Address
- Woudelyne Jean
- 909 Sumner St
- Stoughton, MA
- Zip : 02072-3396
- Phone : (781) 297-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | RN284634 | MA |
National Provider Identifier
| NPI | 1023650660 |
|---|---|
| Provider Name | Woudelyne Jean |
| First Address | Brockton, MA 02302-3336 |
| Second Address | Stoughton, MA 02072-3396 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2019 |
| Last Update Date | 15/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.