Individual
DR. NANCY J. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
704 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912-5405
(571) 242-7719
Mailing address
704 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912-5405
(571) 242-7719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76068
MA
207R00000X
Internal Medicine Physician
D0053841
MD
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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