Individual
MRS. SOPHONIE ELIANOR-WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1206434
MA
363A00000X
Physician Assistant
Primary
PA100731
MA
Other
Enumeration date
05/13/2024
Last updated
07/15/2024
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