Individual
ANTHONY E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 PROSPECT ST, TRI-COUNTRY MEDICAL ASSOCIATES, MILFORD, MA 01757-3003
(508) 473-1190
Mailing address
9 INDUSTRIAL RD 5, MILFORD, MA 01757-3736
(508) 473-1480
(508) 473-1210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77482
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
77482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052750A
—
MA
Enumeration date
05/04/2006
Last updated
07/09/2015
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