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Individual

MEAGAN M WASFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, YAWKEY 5B, BOSTON, MA 02114-2621
(617) 643-7117
Mailing address
55 FRUIT ST, YAWKEY 5B, BOSTON, MA 02114-2621
(617) 643-7117

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-235950
MA
207RC0000X
Cardiovascular Disease Physician
Primary
245391
MA

Other

Enumeration date
07/03/2008
Last updated
12/30/2015
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