Individual
WILSON TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
BSN
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(857) 203-5425
Mailing address
94 NORTH RD, BEDFORD, MA 01730-1023
(857) 229-8535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2322105
MA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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