Individual
RICHARD M. WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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