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Individual

DR. RITA P WADHWANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
114 WHITWELL ST, 2 ND FLOOR B WING, QUINCY, MA 02169-1870
(617) 376-3000
(617) 774-1906
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1906

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
212652
MA
207QA0505X
Adult Medicine Physician
019907
GA

Other

Enumeration date
08/22/2006
Last updated
11/17/2011
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