Individual
JOHN M WENGRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 COURT ST STE 1, PLYMOUTH, MA 02360-8710
(508) 747-1318
(508) 747-1410
Mailing address
116 COURT ST, PLYMOUTH, MA 02360-3808
(508) 747-1318
(508) 747-1410
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
155123
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3196607
—
MA
Enumeration date
10/25/2005
Last updated
09/14/2020
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