Provider Demographics
NPI:1598725269
Name:BUDRICK, STEVEN J (ATC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:BUDRICK
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-0041
Mailing Address - Country:US
Mailing Address - Phone:617-429-4078
Mailing Address - Fax:
Practice Address - Street 1:121 NORTH ST
Practice Address - Street 2:#41
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-9998
Practice Address - Country:US
Practice Address - Phone:617-429-4078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer