Individual
DENNIS E. WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1020
(617) 421-1063
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014875
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0070986-001
CIGNA
MA
01
—
049725
TUFTS HEALTH PLAN
MA
05
—
6178162
—
MA
01
—
B32126
BLUE CROSS
MA
01
—
P00268521
MEDICARE RAILROAD
MA
01
—
PK114
HARVARD PILGRIM
MA
Enumeration date
09/29/2006
Last updated
06/07/2011
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