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Contact Information

KEREN T WILSON, DO
2345 MAIN STREET
TEWKSBURY, MA01876
 Phone: 978-658-9931
 Fax: 978-694-0991
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEREN T WILSON · (Female)

NPI Number 1154570372
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/11/2008
Last updated 10/21/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 125050546
  • MA License # 238880
Hospital affiliation(s)
  • LAHEY CLINIC HOSPITAL - (Acute Care)
    41 & 45 MALL ROAD
    BURLINGTON, MA 01803
  • WINCHESTER HOSPITAL - (Acute Care)
    41 HIGHLAND AVENUE
    WINCHESTER, MA 01890
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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