Dr. John D Mudrock, MD
Internal Medicine in Wakefield, Massachusetts
1780675751- Practice location
- 888 Main St Ste 101, Wakefield, MA 01880-4080
- Phone
- 781-620-4888
- Fax
- 781-245-2602
- Last updated
- February 19, 2021
John David Mudrock is an Internal Medicine based in Wakefield, MA. John David Mudrock practices in Wakefield, MA and has the professional credentials of MD. The NPI Number for John David Mudrock is 1780675751 and holds a License No. 44046 (MA). The current practice location address for John David Mudrock is 888 Main St Ste 101, Wakefield, MA 01880-4080 and can be reached out via phone at 781-620-4888 and via fax at 781-245-2602.
Provider Profile Details
- NPI Number
- 1780675751
- Provider Name
- John David Mudrock
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 888 Main St Ste 101, Wakefield, MA 01880-4080
- Phone Number
- 781-620-4888
- Fax Number
- 781-245-2602
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 31, 2005
- Last Update Date
- February 19, 2021
- Certification Date
- February 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 888 Main St Ste 101
Wakefield, MA 01880-4080 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-4080
- Phone Number
- 781-620-4888
- Fax Number
- 781-245-2602
Provider Business Mailing Address Details
- Address
- 888 Main St Ste 101
Wakefield, MA 01880-4080 - City
- Wakefield
- State
- MA
- Zip
- 01880-4080
- Phone Number
- 781-620-4888
- Fax Number
- 781-245-2602
License Information
- License Number
- 44046
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Wakefield, MA
View all Internal Medicine providers in Wakefield →Frequently Asked Questions
What is the NPI number of Dr. John D Mudrock, MD?
The NPI number of Dr. John D Mudrock, MD is 1780675751. It was assigned on October 31, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. John D Mudrock, MD?
Dr. John D Mudrock, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 44046.
Where does Dr. John D Mudrock, MD practice?
The practice location is 888 Main St Ste 101, Wakefield, MA 01880-4080. The office can be reached at 781-620-4888 (phone) or 781-245-2602 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780675751 directly on the NPPES registry website.