Individual provider · Type 1 NPI

Khare Wilson, P.A.

Surgical Physician Assistant · Boston, MA

NPI number 1689003675 Active

Practice location

330 Brookline Ave
Boston, MA 02215-5400

Call (617) 667-7672 Map

Mailing address

29 Trask Ave
Quincy, MA 02169-7409

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA4863 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1689003675

Khare Wilson, P.A.'s National Provider Identifier is 1689003675, issued on Nov 11, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Nov 11, 2013.