Individual
DR. JACQUELINE L WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
157 UNION ST, MARLBOROUGH HOSPITAL, MARLBOROUGH, MA 01752-1228
(774) 261-0177
Mailing address
67 COOLIDGE CIR, NORTHBOROUGH, MA 01532-1127
(508) 393-9292
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50994
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FX9902
MA MEDICARE
MA
Enumeration date
09/07/2006
Last updated
03/18/2013
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