Provider Demographics
NPI:1487844528
Name:WEBB, IAIN J (MD)
Entity Type:Individual
Prefix:
First Name:IAIN
Middle Name:J
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FAYETTE ST
Mailing Address - Street 2:APT #2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5507
Mailing Address - Country:US
Mailing Address - Phone:617-448-4168
Mailing Address - Fax:
Practice Address - Street 1:20 FAYETTE ST
Practice Address - Street 2:APT #2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5507
Practice Address - Country:US
Practice Address - Phone:617-448-4168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77369207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology