Provider Information for 1861792624
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CHARLOTTE LUDWIG
Sex: Female
NPI: 1861792624
Last Updated: 2010-10-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1861792624 | ||||||||
| Enumeration Date | 2010-10-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1233 STATE RD PLYMOUTH, MA 02360-5133 United States Phone: 508-503-2418 | Fax: | ||||||||
| Primary Practice Address | 1233 STATE RD PLYMOUTH, MA 02360-5133 United States Phone: 508-503-2418 | Fax: | ||||||||
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