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Wilson S Colucci

  • Male

Medical Specialty

Professional ID

  • NPI: 1588629505
  • PECOS ID: 1557398385
  • Enrollment ID: I20050722000492
  • Credential(MD, DO, DPM): MD
  • Medical School: Boston University School Of Medicine
  • Medical School Graduation Year: 1975

Hospital Service

  • Hospital CCN1: 220031
  • Business Name (LBN)1: Boston Medical Center Corporation-

Medical Practices

  • Organization Name: Evans Medical Foundation Inc
  • Group Practice ID assigned by PECOS: 7416946546
  • Number of Group Practice member: 369

Location

  • Address1: 1 Boston Medical Ctr Pl
  • Address2:
  • City: Boston
  • State: Massachusetts
  • Zip Code: 02118
  • Phone Number: (857)654-1000

Location

  • Address1: 88 E Newton St
  • Address2:
  • City: Boston
  • State: Massachusetts
  • Zip Code: 02118
  • Phone Number:

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):