Nicole Lee Wise, MD
Nicole Lee Wise, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
800 Washington StBoston, MA 02111-1552
Phone: (703) 300-4069
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 4609 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1821624982 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | January 23, 2024 |
| Certification date | January 23, 2024 |
| Mailing address | 76 Flint St, Somerville, MA 02145-4021 |
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