Individual
DAVID D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
PO BOX 800136, CHARLOTTESVILLE, VA 22908-0136
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD460063
PA
Other
Enumeration date
04/30/2009
Last updated
05/18/2017
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