Wachs, Lynn L

Wachs, Lynn L is an individual health care provider with primary practice located at 55 Fruit St White 1 Pediatric Emergency Medicine, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wachs, Lynn L can be contacted via phone (617) 724-4110.

Contact Information

Primary practice address
55 Fruit St White 1 Pediatric Emergency Medicine Boston MA 02114-2696
Phone: (617) 724-4110
Fax: (617) 726-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 213870 Massachusetts

Profile Details

NPI number 1922053727
LBN Legal business name Wachs, Lynn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922053727 NPPES
Massachusetts Other J26187 BCBS MA
Massachusetts MEDICAID 2009862 BCBS MA
Massachusetts Other 213870 BCBS MA

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