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Individual

WENDY B LANDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6506
(617) 732-6336
Mailing address
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY, BOSTON, MA 02115-6110
(617) 732-6506
(617) 732-6336

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
202621
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121428
MA
01
411043
TUFTS
MA
01
AA63583
HPHC
MA
01
J23255
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/21/2006
Last updated
08/27/2007
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