Provider Demographics
NPI:1477661791
Name:DULUDE, EMILY J (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:DULUDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARK WAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830
Mailing Address - Country:US
Mailing Address - Phone:978-469-5445
Mailing Address - Fax:978-469-5485
Practice Address - Street 1:1 PARK WAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-469-5445
Practice Address - Fax:978-469-5485
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220292207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1477661791OtherTUFTS HEALTH PLAN
MA1477661791OtherANTHEM
NH30207814OtherNH MEDICAID
MAJ27465OtherBCBS OF MASSACHUSETTS
MA2040221Medicaid
NH1477661791OtherANTHEM BC
MA1477661791OtherAETNA
MA1477661791OtherBOSTON MEDICAL CENTER HEALTH PLAN
MA0046023OtherNEIGHBORHOOD HEALTH PLAN
MA110036446AOtherMASSHEALTH
MA1477661791OtherEVERCARE
MA7964640OtherAETNA NON HMO
MA1477661791OtherFALLON COMMUNITY HEALTH PLAN
MA970229-02OtherNETWORK
MAAA119588OtherHARVARD PILGRIM HEALTH CARE
MA970229-02OtherNETWORK
MAI10321Medicare UPIN