Organization
AMY GLEASON WIEGANDT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY GLEASON WIEGANDT MD (OWNER)
(508) 295-4902
Entity
Organization
Contact information
Practice address
2621 CRANBERRY HWY, WAREHAM, MA 02571-1004
(508) 295-4902
(508) 295-2455
Mailing address
2621 CRANBERRY HWY, WAREHAM, MA 02571-1004
(508) 295-4902
(508) 295-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57120
MA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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