Provider Demographics
NPI:1902904642
Name:DUDA, ROSEMARY BERNADETTE (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:BERNADETTE
Last Name:DUDA
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Gender:F
Credentials:MD MPH
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:STONEMAN 9
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-2169
Mailing Address - Fax:617-975-6376
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:STONEMAN 9
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-2169
Practice Address - Fax:617-975-6376
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-08-10
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Provider Licenses
StateLicense IDTaxonomies
MA750672086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D16482Medicare UPIN
J11925Medicare ID - Type Unspecified