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Organization

JGW3 MEDICAL PLLC

Active
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Organization

JGW3 MEDICAL PLLC

Active
Other names
Philadelphia Addiction Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN WILSON MD (OWNER)
(856) 600-4011
Entity
Organization

Contact information

Practice address
255 S 17TH ST STE 2701, PHILADELPHIA, PA 19103-6228
(856) 600-4011
(714) 333-2441
Mailing address
255 S 17TH ST STE 2701, PHILADELPHIA, PA 19103-6228
(856) 600-4011
(714) 333-2441

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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