Individual
DAVID JOHN WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MARINO CENTER FOR PROGRESSIVE HEALTH, 372 WASHINGTON STREET, WELLESLEY, MA 02481
(781) 235-5200
(781) 235-1103
Mailing address
MARINO CENTER FOR PROGRESSIVE HEALTH, 372 WASHINGTON STREET, WELLESLEY, MA 02481
(781) 235-5200
(781) 235-1103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81112
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401340
UNITED HEALTH CARE
MA
01
—
081112
TUFTS
MA
01
—
4254630
AETNA
MA
01
—
690827
HARVARD PILGRIM
MA
01
—
B10183301
CIGNA
MA
01
—
BCBS
J31278
MA
01
—
M21670
MEDICARE GROUP PROVIDER
MA
Enumeration date
05/31/2006
Last updated
08/29/2011
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