Individual
DR. TOMMY JOHN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 955-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D96564
MD
Other
Enumeration date
04/09/2018
Last updated
02/11/2025
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