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

Richard Wilson, PA-C

Individual provider Physician Assistant · NPI 1760162721

Richard Wilson, PA-C is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101107 (MA)

Record details

NPI number1760162721
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address6 Arborough Rd Unit 2, Roslindale, MA 02131-1602

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