NPI Profile for SEAN WOMACK in WATERTOWN, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1447993548 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/16/2022 | |
| Last updated | 08/29/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SEAN WOMACK
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