Search › Massachusetts › 101YA0400X
Edwin Willis
NPI 1124561451 · on the registry since 2016 · sole proprietor
Practice
- Address
- 774 Albany St
Boston, MA 02118 - Phone
- (617) 534-5613
- Fax
- (617) 534-6171
- Organisation at this address
- Boston Public Health Commission
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts