DR. Ivy Lynn Brackup, MD

NPI #1184691891 in Dorchester, Massachusetts

Provider Information

NPI Number: 1184691891
Entity Type: Individual
Name: DR. Ivy Lynn Brackup, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 1, 2006
Last Updated: Sep 11, 2024

Practice Location

Address: 1353 DORCHESTER AVE
City: Dorchester
State: Massachusetts
ZIP Code: 02122-2932
Phone: (617) 288-3230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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