Individual
DR. JAY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-6019
(617) 730-0477
Mailing address
58 RIVER RD, WESTON, MA 02493-2435
(781) 647-0740
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57801
MA
2086S0102X
Surgical Critical Care Physician
Primary
57801
MA
2086S0120X
Pediatric Surgery Physician
57801
MA
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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