Individual
DR. JANEY L WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 CHARLES ST, MASSACHUSETTS EYE AND EAR INFIRMARY, BOSTON, MA 02114
(617) 573-3529
(617) 573-3152
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
56258
MA
207W00000X
Ophthalmology Physician
Primary
56258
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056258
TUFTS HEALTH PLAN
MA
Enumeration date
11/03/2005
Last updated
02/04/2015
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