Individual
DR. JOHN CHARLES WAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 426-2894
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
54348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3036847
—
MA
01
—
712604
TUFTS HEALTH PLAN
MA
01
—
J04296
BCBS OF MA
MA
Enumeration date
11/04/2005
Last updated
01/19/2023
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