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Individual

WILSON MARTIN NINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 W LIBERTY WAY, MILFORD, DE 19963-5399
(302) 424-3694
(302) 424-3697
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0470

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C10010019
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054635
JHHC
05
119591300
MD
01
521860379
COVENTRY
01
7628798
AETNA
01
KQ630036
CAREFIRST
Enumeration date
12/09/2005
Last updated
06/17/2021
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