# PAUL M. WILSON, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912098823
- **Authorized official:** DR. PAUL MICHAEL WILSON M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (301) 899-0373

## Contact information

- **Practice address:** 4710 AUTH PL, SUITE \#595, SUITLAND, MD 20746-4223
- **Practice address phone:** (301) 899-0373
- **Practice address fax:** (301) 899-0375
- **Mailing address:** 4710 AUTH PL, SUITE \#595, SUITLAND, MD 20746-4223
- **Mailing address phone:** (301) 899-0373
- **Mailing address fax:** (301) 899-0375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D41276 | MD | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020