Individual
DR. RICHARD ALPHONSO WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 315, WASHINGTON, DC 20010-2927
(202) 723-8000
(202) 882-7333
Mailing address
106 IRVING ST NW, SUITE 315, WASHINGTON, DC 20010-2927
(202) 723-8000
(202) 882-7333
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
D0043663
MD
207RR0500X
Rheumatology Physician
Primary
MD11903
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004053756
AETNA
—
01
—
000783612
AMERICAN POSTAL WORKERS
—
05
—
010017400
—
DC
01
—
0735441
AETNA
—
01
—
0762
BLUE CROSS BLUE SHIELD
—
01
—
105547
AMERIGROUP
—
01
—
521444579
UNITED HEALTHCARE
—
01
—
521444579 0001
CIGNA
—
01
—
521444579 20010 A001
TRICARE
—
01
—
580P0762410001
CAREFIRST NATIONAL ACCOUN
—
Enumeration date
01/23/2007
Last updated
06/24/2008
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