Mary Dee Glynn Roux
Student in an Organized Health Care Education/Training Program in Waltham, MA. Individual provider (NPI-1).
NPI number1851600985
StatusActive
Last updated in NPPESOct 7, 2010
Details
- NPI
- 1851600985
- Entity type
- Individual (NPI-1)
- Name
- Mary Dee Glynn Roux
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2010
- Last updated
- Oct 7, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
77 Rumford AveWaltham, MA 02453-3872
Phone 781-894-4307
Mailing address
77 Rumford AveWaltham, MA 02453-3872
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Student in an Organized Health Care Education/Training Program providers in Waltham · All 2,572 providers in Waltham
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