# RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962826354
- **Authorized official:** DR. GEOFFREY M BURNS M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (781) 235-4088

## Contact information

- **Practice address:** 332 WASHINGTON STREET, 200, WELLESLEY, MA 02481-6217
- **Practice address phone:** (781) 235-4088
- **Mailing address:** 332 WASHINGTON STREET, 200, WELLESLEY, MA 02481-6217
- **Mailing address phone:** (781) 235-4088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 155576 | MA | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 02/14/2024