Wilking, Spencer Vanb

Wilking, Spencer Vanb is an sole proprietor health care provider with primary practice located at 100 Charles River Plaza Ste 501 Cpz 100-5, Boston MA 02114-2723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wilking, Spencer Vanb can be contacted via phone (617) 726-2066.

Contact Information

Primary practice address
100 Charles River Plaza Ste 501 Cpz 100-5 Boston MA 02114-2723
Fax: (617) 288-6306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53519 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 53519 Massachusetts

Profile Details

NPI number 1205818358
LBN Legal business name Wilking, Spencer Vanb
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Sep 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205818358 NPPES
Massachusetts Other 053519 TUFTS HEALTH PLAN
Massachusetts Other J05095 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3002551 TUFTS HEALTH PLAN

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