Organization
WELLESLEY PRIMARY CARE MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN I. GLASER M.D. (OWNER)
(781) 431-2345
Entity
Organization
Contact information
Practice address
65 WALNUT ST, SUITE 500, WELLESLEY, MA 02481-2118
(781) 431-2345
(781) 239-9966
Mailing address
65 WALNUT ST, SUITE 500, WELLESLEY, MA 02481-2118
(781) 431-2345
(781) 239-9966
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
151413
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184781742
INDIVIDUAL NPI NUMBER
MA
05
—
9757261
—
MA
Enumeration date
05/01/2007
Last updated
02/02/2009
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