MEDICARE: DR. DEBORAH JANE WEXLER 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
1	207R00000X	Internal Medicine Physician	215101	MA
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	215101	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	467329	OTHER	MA	TUFTS HEALTH PLAN
2	J26967	OTHER	MA	BCBS MA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730179342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH JANE WEXLER MD

Provider Business Mailing Address
First Line	:	PO BOX 9142
Second Line	:
City	:	CHARLESTOWN
State	:	MA
Zip	:	02129-9142
Country	:	US
Telephone Number	:	617-724-8722
Fax Number	:	617-724-8534

Provider Business Practice Location Address
First Line	:	50 STANIFORD ST
Second Line	:	DIABETES CENTER
City	:	BOSTON
State	:	MA
Zip	:	02114-2517
Country	:	US
Telephone Number	:	617-726-8722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/01/2012

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