Individual
EMILY WACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
185 PILGRIM RD, CARDIOLOGY BAKER 4, BOSTON, MA 02215
(414) 690-3515
Mailing address
1284 BEACON ST APT 215, BROOKLINE, MA 02446-3733
(414) 690-3515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4811
MA
Other
Enumeration date
09/13/2013
Last updated
08/24/2018
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