# BOSTON UNIVERSITY FAMILY MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134166390
- **Authorized official:** DR. STEPHEN A. WILSON M.D. (PRESIDENT)
- **Authorized official phone:** (617) 414-2080

## Contact information

- **Practice address:** 1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
- **Practice address phone:** (617) 414-2080
- **Practice address fax:** (617) 414-2090
- **Mailing address:** 960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 12/20/2023