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

Julian Wise, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669319562

Julian Wise, MD is a Student in an Organized Health Care Education/Training Program in Jamaica Plain, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026
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

170 Morton St
Jamaica Plain, MA 02130-3735
Phone: (617) 522-8110
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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 · Licence 3021434 (MA)

Record details

NPI number1669319562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address170 Morton St, Boston, MA 02130-3735

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