Individual
ALYSON MAE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-6750
Mailing address
57 1ST WAY, BARNSTABLE, MA 02630-1247
(774) 238-1579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6726
MA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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