Individual
MARTHA WADLEIGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44 BINNEY ST, DANA 1B25, BOSTON, MA 02115
(617) 632-6685
(617) 582-8202
Mailing address
44 BINNEY ST, DANA 1B25, BOSTON, MA 02115
(617) 632-6685
(617) 582-8202
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
209746
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061956
—
MA
01
—
2069156
MASSHEALTH
—
01
—
209746
TUFTS
—
01
—
3600443
UNITED HEALTH CARE
—
01
—
3634389
AETNA US HEALTHCARE
—
01
—
9213265
CIGNA
—
01
—
AA13675
HPHC
—
01
—
J27416
MA BLUE CROSS BLUE SHIELD
MA
01
—
J27416
INDEMNITY
—
Enumeration date
02/21/2006
Last updated
07/08/2007
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