Organization
R. WENDELL PIERCE M.D., P.C.
Active
Other names
R. W. Pierce M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH WENDELL PIERCE M.D. (PRESIDENT)
(781) 729-9577
Entity
Organization
Contact information
Practice address
955 MAIN ST, SUITE 305, WINCHESTER, MA 01890-1961
(781) 729-9577
(781) 721-0163
Mailing address
955 MAIN ST, SUITE 305, WINCHESTER, MA 01890-1961
(781) 729-9577
(781) 721-0163
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34470
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173061
—
MA
01
—
0239721019
MA BUSINESS #
MD
01
—
1790798361
DR. PIERCE'S NPI
MD
01
—
702532
TUFTS HEALTH PLAN IDENTIF
MD
Enumeration date
02/08/2007
Last updated
08/22/2020
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