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Louise Haddock
Student in an Organized Health Care Education/Training Program in Medford, Massachusetts
NPI 1669895181

Louise Haddock is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Louise Haddock practices in Medford, MA. The NPI Number for Louise Haddock is 1669895181 and holds a License No. (Massachusetts).

The current practice location address for Louise Haddock is 12 Hadley Pl, Medford, MA and can be reached out via phone at 617-447-9800.

Location: 12 Hadley Pl, Medford, MA, 02114-0017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669895181
Provider Name
Louise Haddock
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 Hadley Pl, Medford, MA, 02114-0017
Phone Number
617-447-9800
Fax Number
Provider Enumeration Date
02/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XXM981581399 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
12 Hadley Pl
City
Medford
State
Massachusetts
Zip
02155-3905
Phone Number
617-447-9800
Fax Number
person
Provider Business Mailing Address Details
Address
12 Hadley Pl
City
Medford
State
Massachusetts
Zip
02155-3905
Phone Number
617-447-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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