Audette, Joseph

Audette, Joseph is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Audette, Joseph can be contacted via phone (617) 421-8817.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-8817
Fax: (617) 421-2226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 81464 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 81464 Massachusetts

Profile Details

NPI number 1992789911
LBN Legal business name Audette, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992789911 NPPES
Massachusetts MEDICAID 3140407
Massachusetts Other J31336
Massachusetts Other 759724

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