Individual
DR. RONALD B. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 PRINCESS RD, STE 202, LAWRENCEVILLE, NJ 08648-2322
(609) 219-9000
(609) 219-1313
Mailing address
4 PRINCESS RD, STE 202, LAWRENCEVILLE, NJ 08648-2322
(609) 219-9000
(609) 219-1313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27TO00039900
NJ
152W00000X
Optometrist
Primary
27TOA00294000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116010
AETNA
NJ
01
—
0997381005
CIGNA
—
01
—
22-2516468
HORIZON
NJ
Enumeration date
07/05/2005
Last updated
09/19/2012
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