Individual
DR. STUART WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
JOHN CUMING BLDG, 131 ORNAC, SUITE 580, CONCORD, MA 01742-4191
(978) 371-9690
(978) 371-9691
Mailing address
JOHN CUMING BLDG, 131 ORNAC, SUITE 580, CONCORD, MA 01742-4191
(978) 371-9690
(978) 371-9691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56398
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J05543
BCBS PROVIDER NUMBER
MA
Enumeration date
06/26/2006
Last updated
09/12/2008
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