Individual
DR. MAY WAKAMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, VINCENT OB/GYN SERVICE YAW 4, BOSTON, MA 02114-2621
(617) 724-6850
(617) 724-5843
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-6850
(617) 724-5843
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
57797
MA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
57797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057797
TUFTS HEALTH PLAN
MA
05
—
3068374
—
MA
01
—
J06603
BCBS MA
MA
Enumeration date
11/22/2005
Last updated
06/24/2014
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