Wellesley Medical Associates
Internal Medicine, Geriatric Medicine in Wellesley, MA. Organization (NPI-2).
NPI number1861693426
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861693426
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellesley Medical Associates
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 34539 | MA | Yes |
Practice location
65 Walnut StSuite 440
Wellesley, MA 02481-2118
Phone 781-235-9089
Mailing address
65 Walnut StSuite 440
Wellesley, MA 02481-2118
Phone 781-235-9089
Authorized official
Matthew Jason Dupee
Coo
7812359089
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