Individual
GEORGE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 HERRONTOWN RD, PRINCETON HOUSE BEHAVIORAL HEALTH, PRINCETON, NJ 08540-1901
(609) 497-3300
(609) 497-3370
Mailing address
4 PRINCESS RD, SUITE #207, LAWRENCEVILLE, NJ 08648-2322
(609) 243-0445
(609) 844-1092
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA02887700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1642103
—
NJ
Enumeration date
09/21/2006
Last updated
01/22/2009
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