Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EMILY MICHELLE WISE, MD
Deactivated Sole ProprietorDR. EMILY MICHELLE WISE, MD is a Dermatology healthcare provider located in WELLESLEY, Massachusetts. NPI 1487882270 is deactivated in the NPPES registry. Verify at CMS.
Dermatology · WELLESLEY, MA
This NPI has been deactivated.
The record was deactivated on January 3, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1487882270
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2009 (9.5123287671233 yrs)
- Last Updated
- Jan 8, 2019
- Deactivated
- Jan 3, 2019
- Licenses
-
254256 (MA)254256 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 WILLIAM ST STE G15WELLESLEY, MA, 024814102Browse MA providers · Browse ZIP 02481
- Phone
- 7815914234
- Fax
- 7813699737
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in WELLESLEY, MA
| Name | Credential | NPI |
|---|---|---|
| THOMAS COOPER | M.D. | 1932106572 |
| MICHAEL L GOLDABER | MD | 1073576575 |
| DAVID SHAUN AGHASSI | MD | 1285698936 |
| RACHEL HERSCHENFELD | MD | 1548226772 |
| DR. RUTH TEDALDI | MD | 1518923663 |
| PAMELA KIRSCHNER WEINFELD | MD | 1386600443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.