IndividualActive
Aidan Wiley
NPI 1093526907 · Surgery Physician · Boston, MA
Provider details
- NPI number
- 1093526907
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 3021385 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Boston, MA 02114-2621
Phone: (443) 987-4189
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit St
Boston, MA 02114-2696
Registry dates
- Enumerated
- 2025-01-20
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.