Individual
JACOB DAMMON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
(856) 325-4196
Mailing address
42 E LAUREL RD STE 2600, STRATFORD, NJ 08084-1354
(856) 566-6875
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MB12205900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2017
Last updated
01/07/2026
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