Individual
STEPHEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ RM 403, CAMDEN, NJ 08103-1438
(856) 963-3518
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01054476
IN
207RI0200X
Infectious Disease Physician
Primary
25MA07075800
NJ
Other
Enumeration date
04/22/2006
Last updated
07/23/2019
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