Wild, Wayne S

Wild, Wayne S is an individual health care provider with primary practice located at 705 Mount Auburn Street Tufts Health Plan, Watertown MA 02472-1508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wild, Wayne S can be contacted via phone (617) 972-9400.

Contact Information

Primary practice address
705 Mount Auburn Street Tufts Health Plan Watertown MA 02472-1508
Phone: (617) 972-9400
Fax: (617) 972-9060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36914 Massachusetts

Profile Details

NPI number 1831238625
LBN Legal business name Wild, Wayne S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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