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NPI Code Detail

MEDICARE: JAMES DAVID WINES JR. MD MPH

MEDICARE:   JAMES DAVID WINES JR. MD  MPH
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
12084P0802XAddiction Psychiatry Physician73514MA
22084P0800XPsychiatry Physician73514MA

General Provider Information

NPI Number : 1942284336
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DAVID WINES JR. MD MPH
Provider Business Mailing Address
First Line : 51 SEA AVE
Second Line :
City : QUINCY
State : MA
Zip : 02169-3156
Country : US
Telephone Number : 617-855-2769
Fax Number : 617-855-2519
Provider Business Practice Location Address
First Line : 115 MILL ST
Second Line : OAKS BLDG RM 341 MCLEAN HOSPITAL ADARC
City : BELMONT
State : MA
Zip : 02478-1041
Country : US
Telephone Number : 617-855-2769
Fax Number : 617-855-2519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 01/14/2025

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