1336326297 NPI number — MRS. PATRICIA ULLMANN JOY LDN

Table of content: MRS. PATRICIA ULLMANN JOY LDN (NPI 1336326297)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336326297 NPI number — MRS. PATRICIA ULLMANN JOY LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOY
Provider First Name:
PATRICIA
Provider Middle Name:
ULLMANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ULLMANN-JOY
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LDN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1336326297
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 JOSEPH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOXBOROUGH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01719-1145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-264-3296
Provider Business Mailing Address Fax Number:
978-264-3296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 COOLIDGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01749-1354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-562-3536
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  NU1466 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)