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Individual

DR. JOHN WALLACE MCMEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 AUTUMN ST, 6TH FLOOR, BOSTON, MA 02215-5301
(617) 632-7777
(617) 632-7770
Mailing address
1 AUTUMN ST, 6TH FLOOR, BOSTON, MA 02215-5301
(617) 632-7777
(617) 632-7770

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26623
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2085445
MA
01
706773
TUFTS HEALTH PLAN
MA
01
M13120
BCBS MA
MA
Enumeration date
10/20/2006
Last updated
10/26/2007
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