Individual
WILLIAM LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
54786
MA
208600000X
Surgery Physician
54786
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110046239A
—
MA
Enumeration date
01/20/2006
Last updated
06/13/2019
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