Individual
DR. JENNIFER LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 PILGRIM ROAD, DEACONESS 201, BOSTON, MA 02215
(617) 632-8252
(617) 632-8253
Mailing address
185 PILGRIM ROAD, DEACONESS 201, BOSTON, MA 02215
(617) 632-8252
(617) 632-8253
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
265136
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
265136
MA
Other
Enumeration date
09/11/2009
Last updated
03/09/2022
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