Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
CELESTE RAQUEL WILSON M.D.
Gender: FEMALE
NPI: 1215907464
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Last Updated: | 2015-04-21 | ||
Certification Date: |
Details
Name | Value | ||||||||||||||||||||||||||||
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NPI | 1215907464 | ||||||||||||||||||||||||||||
Enumeration Date | 2006-01-23 | ||||||||||||||||||||||||||||
NPI Type | 1 - Individual | ||||||||||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||||||||||
Status | Active | ||||||||||||||||||||||||||||
Mailing Address |
300 LONGWOOD AVE
WOLBACH 2
BOSTON, MA 02115-5724 United States Phone: 617-355-6363 | Fax: View Map ![]() |
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Primary Practice Address |
300 LONGWOOD AVE
WOLBACH 2
BOSTON, MA 02115-5724 United States Phone: 617-355-6363 | Fax: View Map ![]() |
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