Individual
NOEL SAMUEL JOHN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 HERRICK ST, LAHEY PULMONARY, BEVERLY, BEVERLY, MA 01915-2734
(978) 998-4601
(978) 998-4973
Mailing address
77 HERRICK ST, LAHEY PULMONARY, BEVERLY, BEVERLY, MA 01915-2734
(978) 998-4601
(978) 998-4973
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
261560
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101859A
—
MA
05
—
1407893373
—
ME
05
—
3074414
—
NH
Enumeration date
06/01/2006
Last updated
10/15/2018
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