Wilson, Mairead Rynn

Wilson, Mairead Rynn is an individual health care provider with primary practice located at 55 Fogg Rd , S Weymouth MA 02190-2432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wilson, Mairead Rynn can be contacted via phone (781) 624-8000.

Contact Information

Primary practice address
55 Fogg Rd S Weymouth MA 02190-2432
Phone: (781) 624-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 246120 Massachusetts

Profile Details

NPI number 1417116054
LBN Legal business name Wilson, Mairead Rynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Nov 10th, 2022 - about 4 years ago

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 1417116054 NPPES
Other 04-2297845 TRICARE
Other AA436677 TRICARE
Other 3975418 TRICARE
Other 1417116054 TRICARE
Other 04-2297845 TRICARE
Other 04-2297845 TRICARE
Other 9984652 TRICARE
Other J48728 TRICARE
Other 1417116054 TRICARE
Other 04-2297845 TRICARE

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