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Organization

NORMAN L WILSON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORMAN LOUIS WILSON JR. MD (PRESIDENT)
(202) 362-8660
Entity
Organization

Contact information

Practice address
3000 CONNECTICUT AVE NW, #208, WASHINGTON, DC 20008-2509
(202) 362-8660
(202) 483-3314
Mailing address
3000 CONNECTICUT AVE NW, #208, WASHINGTON, DC 20008-2509
(202) 362-8660
(202) 483-3314

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD4506
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
682460359
DCN
DC
Enumeration date
12/09/2008
Last updated
02/27/2009
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