Individual
STEVEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 WILMINGTON RD, SUITE 104, NEW CASTLE, PA 16105-1537
(724) 656-5870
(724) 656-1283
Mailing address
2602 WILMINGTON RD, SUITE 104, NEW CASTLE, PA 16105-1537
(724) 656-5870
(724) 656-1283
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
D0063508
MD
2085R0001X
Radiation Oncology Physician
Primary
MD427293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021434350001
—
PA
01
—
2020535
HIGHMARK BLUE CROSS BLUE SHIELD
PA
Enumeration date
01/14/2007
Last updated
10/12/2008
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