Individual
DR. TINA WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38R ENON ST, BEVERLY, MA 01915-1166
(978) 927-7727
(978) 927-4598
Mailing address
38R ENON ST, BEVERLY, MA 01915-1166
(978) 927-7727
(978) 927-4598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158505
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105953
—
MA
Enumeration date
10/03/2005
Last updated
05/11/2009
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