Individual
PETER B. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL RD, SUITE 3B, LEOMINSTER, MA 01453-2253
(978) 534-3179
(978) 840-3161
Mailing address
100 HOSPITAL RD, SUITE 3B, LEOMINSTER, MA 01453-2253
(978) 534-3179
(978) 840-3161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
59208
MA
207RI0011X
Interventional Cardiology Physician
59208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3056783
—
MA
Enumeration date
06/21/2005
Last updated
09/04/2013
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