Basic Information
Provider Information
NPI: 1295257483
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WRIGHT
FirstName: AISLING
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 801 ALBANY ST FL 4
Address2:  
City: BOSTON
State: MA
PostalCode: 021193791
CountryCode: US
TelephoneNumber: 6174145514
FaxNumber: 2022433234
Practice Location
Address1: BOSTON MEDICAL CENTER, ONE BOSTON MEDICAL CENTER PL
Address2:  
City: BOSTON
State: MA
PostalCode: 02118
CountryCode: US
TelephoneNumber: 6176388000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2017
LastUpdateDate: 07/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
390200000X258488MAY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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