Individual
MARC P WLADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-5293
(508) 802-6770
(508) 802-6775
Mailing address
4 FURLONG CIR, LAKEVILLE, MA 02347-2144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010970
—
MD
Enumeration date
07/14/2005
Last updated
07/13/2023
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