Individual
MITCHELL W WANGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
112 MAIN ST, NORTHBOROUGH, MA 01532-1914
(508) 393-7223
Mailing address
112 MAIN ST, SUITE 105, NORTHBORO, MA 01532-1914
(508) 393-7223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36913
MA
Other
Enumeration date
05/28/2006
Last updated
07/21/2010
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