Individual
DR. JOHN J. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(609) 429-0054
Mailing address
PO BOX 326, FRANKLIN LAKES, NJ 07417-0326
(609) 429-0054
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
192403
NY
207L00000X
Anesthesiology Physician
Primary
25MA06319000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01417174
—
NY
Enumeration date
01/02/2007
Last updated
10/16/2014
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