Individual
DR. MAIREAD RYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FOGG RD, S WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
246120
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2297845
TRICARE
—
01
—
1417116054
NEIGHBORHOOD HEALTH PLAN
MA
01
—
1417116054
FALLON COMMUNITY HEALTH PLAN
—
01
—
3975418
CIGNA
—
01
—
9984652
AETNA
—
01
—
AA436677
HARVARD PILGRIM
MA
01
—
J48728
BCBSMA
MA
Enumeration date
06/09/2008
Last updated
10/14/2025
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