Wilson, Jay M

Wilson, Jay M is an individual health care provider with primary practice located at 300 Longwood Ave Fegan 3, Boston MA 02115-5724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wilson, Jay M can be contacted via phone (617) 355-6019.

Contact Information

Primary practice address
300 Longwood Ave Fegan 3 Boston MA 02115-5724
Phone: (617) 355-6019
Fax: (617) 730-0477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 57801 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 57801 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 57801 Massachusetts

Profile Details

NPI number 1902825482
LBN Legal business name Wilson, Jay M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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