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Individual
DR. CHRISTOPHER J. WLAZ
Active
Individual
DR. CHRISTOPHER J. WLAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
42944
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109886
—
MA
05
—
238074
—
MA
01
—
4142-3
RI BCBS GROUP NUMBER
RI
05
—
9741836
—
MA
01
—
M14099
MA BCBS GROUP NUMBER
MA
01
—
S009570
CHAMPUS GROUP NUMBER
—
Enumeration date
11/08/2006
Last updated
01/31/2016
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