Individual
WILFRED L. HYNES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
79335
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079335
TUFTS
MA
05
—
3157008
—
MA
01
—
J17004
BCBS
MA
Enumeration date
04/06/2006
Last updated
04/08/2014
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