Individual
DR. JOHN ALEXANDER WALLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 565-3055
(508) 894-0757
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
283962
MA
208100000X
Physical Medicine & Rehabilitation Physician
4301107103
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301107103
MI
Other
Enumeration date
05/06/2015
Last updated
09/14/2020
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