WELLESLEY PRIMARY CARE MEDICINE PC NPI 1750502795

NPI Information

  • NPI: 1750502795
  • Provider Name: WELLESLEY PRIMARY CARE MEDICINE, PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 22D0980551
  • Address: 65 WALNUT ST
    SUITE 500
    WELLESLEY, MA
    ZIP 02481
  • Phone: (781) 431-2345

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NPI Details

WELLESLEY PRIMARY CARE MEDICINE, PC is a general practice in Wellesley, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WELLESLEY PRIMARY CARE MEDICINE, PC NPI is 1750502795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 WALNUT ST
SUITE 500
WELLESLEY, MA
ZIP 02481-118
Phone: (781) 431-2345
Fax: (781) 239-9966

The provider's authorized official is Alan I. Glaser .
The authorized official title is Owner and has the following contact phone number (781) 431-2345.

The CLIA number assigned to this NPI record is 22D0980551 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 2/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice151413MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A22177MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
29757261MEDICAIDMASSACHUSETTS
3G42455MEDICARE UPINMASSACHUSETTS
41184781742OTHERMASSACHUSETTSINDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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