Individual
DR. AMY ELLEN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 OCEAN AVE, REVERE HEALTHCARE CENTER, REVERE, MA 02151-3675
(781) 485-6000
(781) 485-6200
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(781) 485-6000
(781) 485-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
159948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159948
TUFTS HEALTH PLAN
MA
05
—
3193934
—
MA
01
—
J21082
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
11/06/2012
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