Individual
DR. WENDY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 HOPE AVE, STE 151, WALTHAM, MA 02453-2741
(781) 788-8444
Mailing address
330 MT AUBURN ST, PARSON 2, CAMBRIDGE, MA 02138-5597
(617) 499-5083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150709
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3161781
—
MA
Enumeration date
01/25/2006
Last updated
07/08/2024
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