Provider Demographics
NPI:1386641835
Name:HONDO, JUDITH A (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:A
Last Name:HONDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:45 COLPITTS ROAD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493
Mailing Address - Country:US
Mailing Address - Phone:781-899-7778
Mailing Address - Fax:781-899-0475
Practice Address - Street 1:45 COLPITTS ROAD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493
Practice Address - Country:US
Practice Address - Phone:781-899-7778
Practice Address - Fax:781-899-0475
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55518207V00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
055518OtherTUFTS TOTAL HEALTH PLAN
130732OtherHARVARD PILGRIM PPO
27531OtherCHILDREN'S MED SECURITY
A59347OtherFIRST SENIORITY
055518OtherTUFTS
MA0907879OtherHEALTHSOURCE
J07528OtherHMO BLUE/BLUE CHOICE
055518OtherTUFTS COMMONWEALTH PPO
07-00694OtherUNITED HEALTHCARE
0016766OtherNEIGHBORHOOD HEALTH
0907879OtherCIGNA HEALTH CARE
055518OtherTUFTS SECURE HORIZONS
130732OtherHARVARD PILGRIM
130732OtherHARVARD PILGRIM POS
J07528OtherBS BLUE CARE ELECT
J07528OtherBLUE SHIELD INDEMNITYY
27531OtherCHILDREN'S MED SECURITY
A59347Medicare UPIN
0016766OtherNEIGHBORHOOD HEALTH