Individual
FREDERICK H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST # NP4, NEW HAVEN, CT 06510-3220
(203) 200-5864
(203) 688-3501
Mailing address
20 YORK STREET, NP4, NEW HAVEN, CT 06510
(203) 200-5864
(203) 688-3501
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
56941
CT
207RX0202X
Medical Oncology Physician
Primary
56941
CT
Other
Enumeration date
07/23/2007
Last updated
09/08/2017
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