Timothy Edwin Wilens in Boston - Addiction Medicine

Timothy Edwin Wilens - NPI 1295716074

Timothy Edwin Wilens is a Addiction Medicine in Boston, Massachusetts. Timothy Edwin Wilens practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Timothy Edwin Wilens is 1295716074. The last update date is 2012-08-13.

Timothy Edwin Wilens's current location address is 55 Fruit St, Boston, Massachusetts. You can contact this provider via phone number 6177261731. The mailing address for Timothy Edwin Wilens is 55 Fruit St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Edwin Wilens
Address 55 Fruit St, Boston, Massachusetts
Phone Number 6177261731
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295716074
Provider Enumeration Date 2005-11-09
Last Updated Date 2012-08-13

Provider Mailing Address Detail

Address 55 Fruit St
City Boston
State Massachusetts (MA)
Post Code 21142621
Phone Number 6177261731
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 2084A0401X
Licence No 57251
Definition:
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
724343 MA TUFTS HEALTH PLAN
3046974 MA --

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FAQs about Timothy Edwin Wilens

What is the unique 10-digit identifier code assigned to Timothy Edwin Wilens by the Centers for Medicare & Medicaid Services?

The Timothy Edwin Wilens has been issued the NPI (National Provider Identifier) 1295716074 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Timothy Edwin Wilens?

The Timothy Edwin Wilens is physically situated at 55 Fruit St, in the city of Boston, state of MA, with the postal code 21142621.

What is Timothy Edwin Wilens's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Timothy Edwin Wilens is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.

When was the Timothy Edwin Wilens's 1295716074 issued?

The Timothy Edwin Wilens's 1295716074 was issued on 2005-11-09.

When was the information regarding Timothy Edwin Wilens, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Timothy Edwin Wilens, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-13.

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