Most Relevant Information
Provider Data
| NPI Number: | 1003479353 |
| Provider Name: | JUDITH DORISMOND |
| Entity Type: | Individual |
| Taxonomy Code: | 227900000X |
| Specialty: | Respiratory Therapist, Registered |
| License Number: | RT10240 |
Most Important Dates
| Enumeration Date: | 04/22/2019 |
| Last Updated: | 04/22/2019 |
Provider Practice Location
195 WEBSTER ST # 2
MALDEN
MA
021484424
Practice Location Phone/Fax
| Phone: | 7813500959 |
| Fax: |
Provider Mailing Location
195 WEBSTER ST # 2
MALDEN
MA
021484424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |