NICOLE LEE WISE

BOSTON, MA
NPI1821624982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: CA  4609)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-19
Last Update Date2024-01-23
Business Address
NICOLE LEE WISE MD
800 WASHINGTON ST
BOSTON, MA 02111-1552
Phone number: 703-300-4069
Mailing Address
NICOLE LEE WISE MD
76 FLINT ST
SOMERVILLE, MA 02145-4021
Phone number: 703-300-4069