Individual
PETER H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 PLEASANT ST, MEMORIAL BUILDING, SUITE 205, CONCORD, NH 03301-2548
(603) 224-0584
(603) 225-5769
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7539
(603) 227-7000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
026080
CT
208600000X
Surgery Physician
Primary
15052
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001260801
—
CT
05
—
30209947
—
NH
Enumeration date
06/14/2006
Last updated
12/22/2011
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