Organization
JANICE CLEVELAND WASHBURN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY G BOLAND (OPERATIONS MANAGER)
(781) 235-1533
Entity
Organization
Contact information
Practice address
386 WASHINGTON ST, WELLESLEY, MA 02481-6213
(781) 235-1533
(781) 235-1156
Mailing address
386 WASHINGTON ST, WELLESLEY, MA 02481-6213
(781) 235-1533
(781) 235-1156
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
76066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076066
TUFTS PROVIDER NUMBER
MA
01
—
401030NEMC
HARVARD PILGRIM PROVIDER
MA
01
—
4252491
AETNA PROVIDER #
MA
01
—
77861
HCVM/CCN
MA
01
—
M18998
BLUE CROSS GROUP NUMBER
MA
Enumeration date
07/21/2006
Last updated
10/24/2007
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