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Board of Medicine Address
  Commonwealth of Massachusetts
  Board of Registration in Medicine
  200 Harvard Mill Square, Suite 330
  Wakefield, MA 01880
  (781) 876-8200
  (781) 876-8395 (TTY)
  Hours M-F; 8:45 a.m. to 5:00 p.m.

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Online Address Change

In order to receive an updated wallet card, you must submit your current wallet card with the form found here.
To complete your address change by mail or fax, click here.

* = Mandatory Field

*Last Name:
*First Name:
Email Address:
Fax Number:
*License Number:
*Date of Birth:	(mm/dd/yyyy)

Mailing Address
Address 1:
Address 2:

City:		State:
Zip:		Country:
Phone:		Extension:

Business Address
Address 1:
Address 2:

City:		State:
Zip:		Country:
Phone:		Extension:

Home Address
Address 1:
Address 2:

City:		State:
Zip:		Country:
Phone:		Extension:

Address Change by Mail or Fax

By Mail:
          Complete the form found here and mail it to:

          Commonwealth of Massachusetts
          Board of Registration in Medicine
          200 Harvard Mill Square, Suite 330
          Wakefield, MA 01880
          Attn: Address Changes

By Fax:
Complete the form found here and fax it to:

(781) 876-8383