Search › Massachusetts › 171M00000X
Andre Wilson
NPI 1386410785 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12 Southern Ave
Dorchester, MA 02124 - Phone
- (617) 708-0870
- Organisation at this address
- Fathers' Uplift Family Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2023-11-28
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