Jerry Wacks MD

NPI 1699827881 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1699827881
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
35 BEDFORD ST
SUITE 1
LEXINGTON MA, 02420-4320, US
Phone (781) 861-6767
Fax (781) 861-6953
Business Location
35 BEDFORD ST
SUITE 1
LEXINGTON MA, 02420-4320, US
Phone (781) 861-6767
Fax (781) 861-6953
Toxanomy
Taxonomy Code 2084P0800X
License State Massachusetts
License Number 28783
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According to our database, Dr. Jerry Wacks MD NPI is 1699827881, taxonomy code is 2084P0800X and license number is 28783, license state is located at Massachusetts. Jerry Wacks MD physically located at 35 Bedford St, Lexington MA, 02420-4320. NPI Number Jerry Wacks MD has the Individual type.

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1699827881 NPI number is provided on an as is basis without warranty of any kind. 1699827881 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Wacks MD are for informational purposes only.