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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