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NPI Code Detail

MEDICARE: DR. JOHN SCOTT WADLINGTON MD

MEDICARE: DR. JOHN SCOTT WADLINGTON 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
1207L00000XAnesthesiology Physician75235MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2075235OTHERMATUFTS HEALTH PLAN
3J12295OTHERMABCBS MA

General Provider Information

NPI Number : 1588654768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN SCOTT WADLINGTON MD
Provider Business Mailing Address
First Line : 144 GOULD ST STE 150
Second Line :
City : NEEDHAM HEIGHTS
State : MA
Zip : 02494-2309
Country : US
Telephone Number : 339-204-9516
Fax Number : 617-754-8791
Provider Business Practice Location Address
First Line : 1493 CAMBRIDGE ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02139-1099
Country : US
Telephone Number : 617-665-1634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 01/13/2023

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Directions to “ DR. JOHN SCOTT WADLINGTON MD” Practice Location

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