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Dr. Ivy Lynn Brackup, MD
Family Medicine Physician in Dorchester, Massachusetts
NPI 1184691891

Ivy Lynn Brackup is a Family Medicine Physician based in Dorchester, MA. Ivy Lynn Brackup practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Ivy Lynn Brackup is 1184691891 and holds a License No. 15530 (Massachusetts).

The current practice location address for Ivy Lynn Brackup is 1353 Dorchester Ave, Dorchester, MA and can be reached out via phone at 617-288-3230.

Location: 1353 Dorchester Ave, Dorchester, MA, 02122-2932
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
1353 Dorchester Ave, Dorchester, MA, 02122-2932
Phone Number
617-288-3230
Fax Number
Provider Enumeration Date
03/01/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3177190 05 MA
institution
Provider Business Practice Location Address Details
Address
1353 Dorchester Ave
City
Dorchester
State
Massachusetts
Zip
02122-2932
Phone Number
617-288-3230
Fax Number
person
Provider Business Mailing Address Details
Address
1353 Dorchester Ave
City
Dorchester
State
Massachusetts
Zip
02122-2932
Phone Number
617-288-3230
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
15530 (Massachusetts)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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