Justine Ducie

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wareham, MA

NPI 1457647679 · NPPES record last updated Jun 27, 2011

Key facts

NPI
1457647679
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
215 Sandwich Rd
Wareham, MA 02571-1637
Phone
(617) 847-1950
Fax
(617) 774-1490
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

215 Sandwich Rd
Wareham, MA 02571-1637

Mailing address

215 Sandwich Rd
Wareham, MA 02571-1637
Phone (617) 847-1950

Other providers in Wareham, MA

All providers in Wareham, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.