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NPI Code Detail

MEDICARE: JOSHUA RAGAN WILKINSON DO

MEDICARE: JOSHUA RAGAN WILKINSON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician1022139MA
2207R00000XInternal Medicine Physician1022139MA

General Provider Information

NPI Number : 1265061204
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA RAGAN WILKINSON DO
Provider Business Mailing Address
First Line : 55 FRUIT ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-2696
Country : US
Telephone Number : 617-732-5500
Fax Number :
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-732-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 06/08/2026

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