Individual
GEOFFREY R WICKWIRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HIGHLAND STREET, SO SHORE INT MED ASSOCS, MILTON, MA 02186
(617) 698-8855
Mailing address
98 ARNOLD RD, WELLESLEY, MA 02481-2842
(617) 698-8855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41267
MA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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