Organization
CENTER FOR DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE M WILSON MD, DMD (PHYSICIAN)
(717) 267-4864
Entity
Organization
Contact information
Practice address
2000 SCOTLAND AVE, CHAMBERSBURG, PA 17201-1452
(717) 267-4864
Mailing address
2000 SCOTLAND AVE, CHAMBERSBURG, PA 17201-1452
(717) 267-4864
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD419534
PA
Other
Enumeration date
05/11/2009
Last updated
05/19/2009
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