Organization
WAVES OF AWAKENING CENTER FOR PERSONALIZED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE ARENA MD (OWNER)
(781) 585-9522
Entity
Organization
Contact information
Practice address
345 COURT ST STE 102, PLYMOUTH, MA 02360-4359
(781) 585-9522
Mailing address
345 COURT ST STE 102, PLYMOUTH, MA 02360-4359
(781) 585-9522
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131556
HPHC
MA
01
—
J25132
BCBS
MA
Enumeration date
12/23/2019
Last updated
12/23/2019
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