Individual
DR. LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO MPH
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5900
Mailing address
PO BOX 184, NEW CANAAN, CT 06840-0184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047233
CT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
047233
CT
Other
Enumeration date
08/25/2008
Last updated
06/18/2010
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