Individual provider · Type 1 NPI

Mauro Rogerio De Barros Wanderley Junior, MD, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1720838733 Active

Practice location

185 Pilgrim Rd # BAKER4
Boston, MA 02215-5324

Call (617) 667-8800 Map

Mailing address

30 Stearns Rd Apt 502
Brookline, MA 02446-5134

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720838733

Mauro Rogerio De Barros Wanderley Junior, MD, PhD's National Provider Identifier is 1720838733, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 25, 2024.