Individual
DR. SCOTT D WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS - PEDIPLACE, WORCESTER, MA 01655-0002
(508) 334-3736
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101118
—
MA
Enumeration date
08/20/2006
Last updated
07/08/2007
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