Individual
DR. ELIZABETH M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
77 LIVINGSTON ST, NEW HAVEN, CT 06511
(203) 777-0557
Mailing address
77 LIVINGSTON ST, NEW HAVEN, CT 06511
(203) 777-0557
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
030927
CT
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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