| Jerry Wacks, Md | |
|
35 Bedford St Suite 1 Lexington MA 02420-4320 | |
| (781) 862-6767 | |
| (781) 861-6953 |
| Full Name | Jerry Wacks, Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 35 Bedford St, Lexington, Massachusetts |
| Authorized Official Name and Position | Jerry Wacks (OWNER) |
| Authorized Official Contact | 7818616767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Wacks, Md 35 Bedford St Suite 1 Lexington MA 02420-4320 Ph: (781) 862-6767 | Jerry Wacks, Md 35 Bedford St Suite 1 Lexington MA 02420-4320 Ph: (781) 862-6767 |
| NPI Number | 1801087226 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 08/14/2007 |
| Medicare PECOS PAC ID | 7113010844 |
|---|---|
| Medicare Enrollment ID | O20070911000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801087226 | NPI | - | NPPES |
| Provider Name | Charles M Alperin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356482277 PECOS PAC ID: 2567555295 Enrollment ID: I20070911000422 |
| Provider Name | Jerry Wacks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699827881 PECOS PAC ID: 2264528785 Enrollment ID: I20071015000384 |
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