Organization
HAROLD A. WILKINSON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD A. WILKINSON M.D., PH.D. (OWNER)
(617) 724-0339
Entity
Organization
Contact information
Practice address
15 PARKMAN ST, WAC 745, BOSTON, MA 02114-3117
(617) 724-0339
(617) 643-7963
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-2040
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17103
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
01/03/2007
Last updated
09/17/2014
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