Individual provider · Type 1 NPI

Julian Wise, MD

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

NPI number 1669319562 Active

Practice location

170 Morton St
Jamaica Plain, MA 02130-3735

Call (617) 522-8110 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3021434 (MA)

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 1669319562

Julian Wise, MD's National Provider Identifier is 1669319562, issued on Apr 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on May 11, 2026.