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DR. LUCA JOHANN WACHTENDORF MD
NPI 1295594414
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 18, 2024
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luca Johann Wachtendorf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCA JOHANN WACHTENDORF MD (NPI 1295594414) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1295594414
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LUCA JOHANN WACHTENDORFCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5491
Mailing Address30 Littell Rd Apt 5Brookline, MA 02446-6518 · (857) 423-8879
Phone(617) 667-7000
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1295594414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
330 BROOKLINE AVE, Boston, MA 02215
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luca Johann Wachtendorf's NPI number?

The NPI number for Luca Johann Wachtendorf is 1295594414. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Luca Johann Wachtendorf located?

Luca Johann Wachtendorf practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Luca Johann Wachtendorf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Luca Johann Wachtendorf was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.