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Individual

RICHARD M. WYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29B COTTAGE ST, AMHERST, MA 01002-2172
(413) 549-7400
(413) 549-7402
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
155828
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000020255
BMC
MA
01
000183947610
UNITED HEALTHCARE
MA
01
010550144
CONSOLIDATED
MA
01
10550144
CONNECTICARE
MA
01
155828
TUFTS
MA
01
29546
HEALTH NEW ENGLAND
MA
01
401219
HARVARD PILGRIM
MA
01
5108024
AETNA
MA
01
7011791-005
CIGNA
MA
01
J19454
BCBSMA
MA
Enumeration date
12/13/2005
Last updated
04/24/2026
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