Individual
DR. PAULINA G WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8081 INNOVATION PARK DR STE 500, FAIRFAX, VA 22031-4867
(571) 472-7040
(571) 472-7041
Mailing address
1099 22ND ST NW APT 304, WASHINGTON, DC 20037-1822
(240) 462-7539
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101257996
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2010
Last updated
06/17/2021
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