Individual
MRS. SHRUTI PRIYANKA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8707
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
267028
MA
207K00000X
Allergy & Immunology Physician
A119432
CA
Other
Enumeration date
04/16/2008
Last updated
02/27/2024
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