Individual
DR. KEREN T WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2345 MAIN STREET, TEWKSBURY, MA 01876
(978) 658-9931
(978) 694-0991
Mailing address
P.O. BOX 760, WINCHESTER, MA 01890
(781) 756-7273
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125050546
IL
207Q00000X
Family Medicine Physician
Primary
238880
MA
Other
Enumeration date
09/11/2008
Last updated
10/21/2009
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