Provider Demographics
NPI:1215917299
Name:WILKEL, CAROLINE S (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:S
Last Name:WILKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 NORTH MAIN STREET
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:508-235-1118
Mailing Address - Fax:508-235-1119
Practice Address - Street 1:1822 N MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1350
Practice Address - Country:US
Practice Address - Phone:508-235-1118
Practice Address - Fax:508-235-1119
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209200207ZD0900X
RIRI7229207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI202353OtherBLUE CHIP
RIWE34797Medicaid
RI070015999OtherRAILROAD MEDICARE
RI0505152393002OtherUNITED HEALTHCARE
RI21994-1OtherBLUE CROSS BLUE SHIELD
RI007008111Medicare ID - Type Unspecified
RIWE34797Medicaid