Walter Spencer Wightman MD

NPI 1033293295 - Family Medicine - 207Q00000X

NPI Details
NPI 1033293295
Gender Male
Enumeration Date 10/24/2006
Last Updated 02/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
269 UNION ST
LYNN COMMUNITY HEALTH INC.
LYNN MA, 01901-1314, US
Phone (781) 581-3900
Fax (781) 598-1050
Business Location
269 UNION ST
LYNN COMMUNITY HEALTH, INC.
LYNN MA, 01901-1314, US
Phone (781) 581-3900
Fax (781) 598-1050
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 73364
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According to our database, Walter Spencer Wightman MD NPI is 1033293295, taxonomy code is 207Q00000X and license number is 73364, license state is located at Massachusetts. Walter Spencer Wightman MD physically located at 269 Union St, Lynn MA, 01901-1314. NPI Number Walter Spencer Wightman MD has the Individual type.

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1033293295 NPI number is provided on an as is basis without warranty of any kind. 1033293295 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Spencer Wightman MD are for informational purposes only.