Individual
JOSHUA CRAIG WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
832 QUEEN ST, SOUTHINGTON, CT 06489-1544
(860) 863-5288
Mailing address
317 FOXON RD, EAST HAVEN, CT 06513-2038
(475) 441-7809
(475) 441-7813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5726
CT
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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