Individual
MR. WILLIAM ROBERT WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 BORTHWICK AVE, STE 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Mailing address
333 BORTHWICK AVE, MOB 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
E4575
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
14182
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.061928
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099751
—
NH
Enumeration date
02/08/2006
Last updated
02/01/2022
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