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Organization
BOSTON UNIVERSITY FAMILY MEDICINE, INC.
Active
Organization
BOSTON UNIVERSITY FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A. WILSON M.D. (PRESIDENT)
(617) 414-2080
Entity
Organization
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
12/20/2023
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