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Individual
BRIAN E WASCAVAGE
Active
Individual
BRIAN E WASCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2012
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002012
TUFTS
MA
05
—
0358274
—
MA
01
—
33944
HPHC
MA
01
—
480034177
RAILROAD
MA
Enumeration date
06/29/2006
Last updated
04/05/2024
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