Individual
SAMANTHA TERESA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 FENWOOD RD, BOSTON, MA 02115-6128
(617) 525-6759
(617) 713-3050
Mailing address
13 RICHARD ST, SAUGUS, MA 01906-2819
(781) 854-6776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
06/20/2023
Last updated
06/20/2024
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