Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Benjamin Wylie, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093393365

Andrew Benjamin Wylie, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (914) 772-2013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MA)

Record details

NPI number1093393365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

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