Organization
OMNI MEDICAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WILSON M.D. (PRESIDENT)
(508) 235-5262
Entity
Organization
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 235-5262
Mailing address
91 STILES RD, SALEM, NH 03079-2846
(603) 893-9784
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25755-0
BS OF RI
RI
05
—
9026687
—
RI
Enumeration date
01/27/2006
Last updated
04/30/2010
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