Individual
SCOTT F WENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4344
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-4344
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
239514
MA
207ZP0101X
Anatomic Pathology Physician
Primary
239514
MA
390200000X
Student in an Organized Health Care Education/Training Program
232217
MA
Other
Enumeration date
02/03/2009
Last updated
04/11/2012
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