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Organization
NEWTON WELLESLEY PRIMARY CARE P C
Active
Organization
NEWTON WELLESLEY PRIMARY CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B HOLGERSON MD (PRESIDENT)
(781) 235-1224
Entity
Organization
Contact information
Practice address
40 WALNUT ST, WELLESLEY, MA 02481-2173
(781) 943-3000
(781) 943-3001
Mailing address
40 WALNUT ST, WELLESLEY, MA 02481-2173
(781) 943-3000
(781) 943-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607309
TUFTS GROUP #
MA
01
—
9777644
MASSHEALTH GROUP#
MA
01
—
M16342
BLUESHIELD NEWTON GRP#
MA
Enumeration date
09/13/2006
Last updated
03/09/2017
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