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Dr. Ivy Lynn Brackup, MD
Contractor in Wellesley, Massachusetts
NPI 1184691891

Ivy Lynn Brackup is a Contractor based in Wellesley, MA. Ivy Lynn Brackup practices in Wellesley, MA and has the professional credentials of MD. The NPI Number for Ivy Lynn Brackup is 1184691891 and holds a License No. (Massachusetts).

The current practice location address for Ivy Lynn Brackup is 372 Washington St., Wellesley, MA and can be reached out via phone at 781-235-5200 and via fax at 617-382-1101. You can also correspond with Ivy Lynn Brackup through the mailing address at 372 WASHINGTON ST., WELLESLEY, MA - 02481 (mailing address contact number: 781-235-5200).

Location: 372 Washington St., Wellesley, MA, 02481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184691891
Provider Name
Ivy Lynn Brackup
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
372 Washington St., Wellesley, MA, 02481
Phone Number
781-235-5200
Fax Number
617-382-1101
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3177190 05 MA
institution
Provider Business Practice Location Address Details
Address
372 Washington St.
City
Wellesley
State
Massachusetts
Zip
02481
Phone Number
781-235-5200
Fax Number
617-382-1101
person
Provider Business Mailing Address Details
Address
372 Washington St.
City
Wellesley
State
Massachusetts
Zip
02481
Phone Number
781-235-5200
Fax Number
617-382-1101
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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