Most Relevant Information
Provider Data
NPI Number: | 1003383506 |
Provider Name: | BRIDGET N. BABICH-WYDYSH PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA6896 |
Most Important Dates
Enumeration Date: | 11/01/2018 |
Last Updated: | 05/16/2024 |
Provider Practice Location
1 BOSTON MEDICAL CENTER PLACE
C500
BOSTON
MA
02118
Practice Location Phone/Fax
Phone: | 6176388609 |
Fax: | 6176388607 |
Provider Mailing Location
960 MASSACHUSETTS AVENUE
FL 2
BOSTON
MA
021182690
Provider Mailing Phone/Fax
Phone: | |
Fax: |