Individual
DR. ERIC P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 COMMERCE BLVD, STROUDSBURG, PA 18360-6214
(570) 426-2960
(570) 426-2965
Mailing address
1259 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103-6206
(610) 439-0372
(610) 439-8807
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD050400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018144070004
—
PA
01
—
040962PZP
MEDICARE
—
Enumeration date
07/27/2005
Last updated
09/05/2019
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