Individual
DR. DONNA KHODARAHMI WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
81 HIGHLAND AVE, NORTH SHORE MEDICAL CENTER, SALEM, MA 01970-2714
(978) 354-2815
(978) 740-4702
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
153785
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153785
TUFTS HEALTH PLAN
MA
05
—
3175812
—
MA
01
—
J18640
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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