Individual
BENJAMIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 319-8361
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101259000
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
08/10/2023
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