Individual
DR. SCOTT NUMO WILSON
Active
Individual
DR. SCOTT NUMO WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51507
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051507
TUFTS
MA
01
—
J03672
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
Update your record
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