Dr. Keren T Wilson, DO
Family Medicine in Tewksbury, Massachusetts
1154570372- Practice location
- 2345 Main Street, Tewksbury, MA 01876
- Phone
- 978-658-9931
- Fax
- 978-694-0991
- Last updated
- October 21, 2009
Keren T Wilson is a Family Medicine based in Tewksbury, MA. Keren T Wilson practices in Tewksbury, MA and has the professional credentials of DO. The NPI Number for Keren T Wilson is 1154570372 and holds a License No. 125050546 (IL). The current practice location address for Keren T Wilson is 2345 Main Street, Tewksbury, MA 01876 and can be reached out via phone at 978-658-9931 and via fax at 978-694-0991.
Provider Profile Details
- NPI Number
- 1154570372
- Provider Name
- Keren T Wilson
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2345 Main Street, Tewksbury, MA 01876
- Phone Number
- 978-658-9931
- Fax Number
- 978-694-0991
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 11, 2008
- Last Update Date
- October 21, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2345 Main Street
Tewksbury, MA 01876 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876
- Phone Number
- 978-658-9931
- Fax Number
- 978-694-0991
Provider Business Mailing Address Details
- Address
- P.o. Box 760
Winchester, MA 01890 - City
- Winchester
- State
- MA
- Zip
- 01890
- Phone Number
- 781-756-7273
- Fax Number
- 781-721-0725
License Information
- License Number (1)
- 125050546
- License State (1)
- IL
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 238880
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Tewksbury, MA
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Frequently Asked Questions
What is the NPI number of Dr. Keren T Wilson, DO?
The NPI number of Dr. Keren T Wilson, DO is 1154570372. It was assigned on September 11, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Keren T Wilson, DO?
Dr. Keren T Wilson, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in IL under license number 125050546.
Where does Dr. Keren T Wilson, DO practice?
The practice location is 2345 Main Street, Tewksbury, MA 01876. The office can be reached at 978-658-9931 (phone) or 978-694-0991 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154570372 directly on the NPPES registry website.