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