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Organization
WELLESLEY PRIMARY CARE MEDICINE, PC
Active
Organization
WELLESLEY PRIMARY CARE MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN I. GLASER M.D. (OWNER)
(781) 431-2345
Entity
Organization
Contact information
Practice address
65 WALNUT ST, SUITE 500, WELLESLEY, MA 02481-2118
(781) 431-2345
(781) 239-9966
Mailing address
65 WALNUT ST, SUITE 500, WELLESLEY, MA 02481-2118
(781) 431-2345
(781) 239-9966
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
151413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184781742
INDIVIDUAL NPI NUMBER
MA
05
—
9757261
—
MA
Enumeration date
05/01/2007
Last updated
02/02/2009
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