Wayland Pediatrics Llc

NPI 1033374731 - Pediatrics - 208000000X

NPI Details
NPI 1033374731
Enumeration Date 07/22/2008
Last Updated 07/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SALLIE SALLIE
Position PHYSICIAN
Phone (508) 358-6054
Fax
Practice Location
73 PELHAM ISLAND RD
WAYLAND MA, 01778-2625, US
Phone (508) 358-6054
Fax
Business Location
73 PELHAM ISLAND RD
WAYLAND MA, 01778-2625, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 72178
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According to our database, Wayland Pediatrics Llc NPI is 1033374731, taxonomy code is 208000000X and license number is 72178, license state is located at Massachusetts. Wayland Pediatrics Llc physically located at 73 Pelham Island Rd, Wayland MA, 01778-2625. NPI Number 1033115704 has the healthcare provider type.

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1033374731 NPI number is provided on an as is basis without warranty of any kind. 1033374731 is maintained by the National Plan & Provider Enumeration System. The contents of Wayland Pediatrics Llc are for informational purposes only.