Individual provider · Type 1 NPI

Nicole Marie Wilson, MD, PhD

Diagnostic Radiology Physician · Boston, MA

NPI number 1154908101 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X1026219 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1154908101

Nicole Marie Wilson, MD, PhD's National Provider Identifier is 1154908101, issued on Mar 25, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Jun 4, 2026.