Individual
DENISE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 WORCESTER ST, SUITE 102, WELLESLEY, MA 02481-5568
(617) 219-1510
(617) 219-1512
Mailing address
195 WORCESTER STREET, SUITE 102, WELLESLEY, MA 02481-5521
(617) 219-1512
(617) 219-1512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
730000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066835
—
MA
Enumeration date
05/26/2006
Last updated
08/07/2014
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