Provider Demographics
NPI:1891133609
Name:VAUGHAN, DENIS AUGUSTINE (MB BCH BAO MRCPI)
Entity type:Individual
Prefix:DR
First Name:DENIS
Middle Name:AUGUSTINE
Last Name:VAUGHAN
Suffix:
Gender:M
Credentials:MB BCH BAO MRCPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 STERGIS WAY
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2637
Mailing Address - Country:US
Mailing Address - Phone:781-675-3192
Mailing Address - Fax:781-747-6754
Practice Address - Street 1:45 STERGIS WAY
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2637
Practice Address - Country:US
Practice Address - Phone:781-675-3192
Practice Address - Fax:781-747-6754
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256176261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty