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General NPI Number Information
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NPI Number | 1710968078
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Entity Type | Individual
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Provider Name | JOHN WILINSKY MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 03/10/2010
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Provider Practice Location Address
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Address Line | 31 HALL DR
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City | AMHERST
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State | MA
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Zip | 01002-2751
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Country | US
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Telephone | 413-256-4396
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9135
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City | BROOKLINE
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State | MA
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Zip | 02446-9135
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Country | US
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Telephone | 603-893-9784
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Fax | 603-890-1236
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 72026
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License Number State | MA
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