Organization
J. WALLACE MCMEEL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARJIE S WHITTEMORE (DIR OF CLINICAL&BUSINESS OPERATIONS)
(617) 632-7776
Entity
Organization
Contact information
Practice address
1 AUTUMN ST, 6TH FLOOR, BOSTON, MA 02215-5301
(617) 632-7777
(617) 632-7770
Mailing address
1 AUTUMN ST, 6TH FLOOR, BOSTON, MA 02215-5301
(617) 632-7777
(617) 632-7770
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15499
HARVARD PILGRIM
MA
05
—
2085445
—
MA
01
—
706773
TUFTS
MA
01
—
M13120
BCBS MA
MA
Enumeration date
11/08/2007
Last updated
11/08/2007
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