Healthcare Provider Details

I. General information

NPI: 1356331318
Provider Name (Legal Business Name): PAUL JAMES WRIGHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 HAYDEN ROWE ST
HOPKINTON MA
01748-1840
US

IV. Provider business mailing address

28 HAYDEN ROWE ST
HOPKINTON MA
01748-1840
US

V. Phone/Fax

Practice location:
  • Phone: 508-435-4033
  • Fax: 508-435-7328
Mailing address:
  • Phone: 508-435-4033
  • Fax: 508-435-7328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number48906
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: