Individual provider · Type 1 NPI

Andrew Benjamin Wylie, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1093393365 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (914) 772-2013 Map

Mailing address

9 Hawthorne Pl, Apt 8G
Boston, MA 02114-2324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093393365

Andrew Benjamin Wylie, MD's National Provider Identifier is 1093393365, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 3, 2021.