Individual
DR. LYNN L WACHS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST WHITE 1, PEDIATRIC EMERGENCY MEDICINE, BOSTON, MA 02114-2696
(617) 724-4110
(617) 726-3231
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
213870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009862
—
MA
01
—
213870
TUFTS HEALTH PLAN
MA
01
—
J26187
BCBS MA
MA
Enumeration date
05/23/2006
Last updated
07/08/2007
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