Organization
JANET VODVARKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET VODVARKA PH.D. (SOLE PRACTITIONER)
(508) 358-9688
Entity
Organization
Contact information
Practice address
27 WALTHAM RD, WAYLAND, MA 01778-1312
(598) 358-9688
Mailing address
27 WALTHAM ROAD, WAYLAND, MA 01778
(598) 358-9688
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2613
MA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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