| Organization Name: | JUDY BRASIER DO, LLC |
| NPI Number: | 1073818092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY L BRASIER (PRESIDENT) |
| Mailing Address: | 200 Providence Hwy Suite 200 Dedham |
| State: | MA US |
| Postal Code: | 020261881 |
| Phone Number: | 7814614543 |
| Fax Number: | 7813262030 |
| NPI Enumeration Date: | 01/22/2011 |
| NPI Last Update Date: | 01/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 226380 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |