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Individual

DAVID SIMS WAGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PLD

Contact information

Practice address
31 PINECONE LANE, SOUTH BOROULH, MA 01772-1244
(508) 481-0077
Mailing address
31 PINECONE LANE, SOUTH BOROULH, MA 01772-1244
(508) 481-0077

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
G78812
CA
208U00000X
Clinical Pharmacology Physician
G78812
CA

Other

Enumeration date
05/21/2012
Last updated
05/21/2012
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