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NPI Code Detail

MEDICARE: CHRISTINE LYNN WASILEWSKI MD

MEDICARE: CHRISTINE LYNN WASILEWSKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RX0202XMedical Oncology Physician1019284MA
2207RH0003XHematology & Oncology Physician14111NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376750562
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LYNN WASILEWSKI MD
Provider Business Mailing Address
First Line : PO BOX 911
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05302-0911
Country : US
Telephone Number : 603-828-0100
Fax Number : 207-250-2140
Provider Business Practice Location Address
First Line : 155 BORTHWICK AVE STE C
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7156
Country : US
Telephone Number : 603-828-0100
Fax Number : 603-828-0111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 01/05/2026

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