Joseph Clayton Wilcox MED LADCI

NPI 1336217413 - Counselor - 101YP2500X

NPI Details
NPI 1336217413
Gender Male
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
723 MASSACHUSETTS AVENUE
BOSTON MA, 02118, US
Phone (617) 534-4212
Fax (617) 534-4221
Business Location
1010 MASSACHUSETTS AVENUE
BOSTON MA, 02118, US
Phone (617) 534-4212
Fax (617) 534-4221
Toxanomy
Taxonomy Code 101YP2500X
License State Massachusetts
License Number 1653
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According to our database, Mr. Joseph Clayton Wilcox MED LADCI NPI is 1336217413, taxonomy code is 101YP2500X and license number is 1653, license state is located at Massachusetts. Joseph Clayton Wilcox MED LADCI physically located at 723 Massachusetts Avenue, Boston MA, 02118. NPI Number Joseph Clayton Wilcox MED LADCI has the Individual type.

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1336217413 NPI number is provided on an as is basis without warranty of any kind. 1336217413 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Clayton Wilcox MED LADCI are for informational purposes only.