Individual
MARTEN H WOLCKENHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8132
Mailing address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8132
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
208880
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110006476A
—
MA
Enumeration date
05/01/2006
Last updated
09/23/2011
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