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Individual

IAN JAMES WELLINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6679
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1025913
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
102462
GA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
1025913
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2019
Last updated
06/16/2026
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