| Doctor Name: | JUDY M. DUARTE |
| NPI Number: | 1114141207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 190872 |
| Business Practice Address: | 55 Route 130 Forestdale, MA - 026441402 |
| Business Phone Number: | 5084775306 |
| Business Fax Number: | 5084770297 |
| Mailing Address: | 41 Tananger Rd, PLYMOUTH |
| State: | MA |
| Postal Code: | 023602656 |
| Phone Number: | 5084775306 |
| Fax Number: | 5084770297 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 190872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |