Provider Demographics
NPI:1235427410
Name:BUDMAN, ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:BUDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 CHESTNUT ST
Mailing Address - Street 2:STE 100
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1462
Mailing Address - Country:US
Mailing Address - Phone:781-551-5812
Mailing Address - Fax:508-698-8671
Practice Address - Street 1:16 CHESTNUT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1472
Practice Address - Country:US
Practice Address - Phone:781-551-5812
Practice Address - Fax:508-698-8671
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA248395207R00000X
MA2665682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine