Individual
JANET LEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5573
Mailing address
2052 WAVERLY ST, PHILADELPHIA, PA 19146-1343
(215) 732-5573
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD021813E
PA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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