Individual
KERRY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 CLINTON AVE, BRIDGEPORT, CT 06605-1701
(203) 330-6000
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101250719
VA
207RI0200X
Infectious Disease Physician
Primary
73122
CT
Other
Enumeration date
07/08/2009
Last updated
06/06/2023
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