Individual
JOHN J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BOWMAN DRIVE, STE 190, VOORHEES TOWNSHIP, NJ 08043-9634
(609) 261-7074
(856) 247-7331
Mailing address
200 BOWMAN DRIVE, STE 190, VOORHEES TOWNSHIP, NJ 08043-9634
(856) 247-7370
(856) 247-7331
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA08052600
NJ
2085R0001X
Radiation Oncology Physician
MD422915
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128244
—
NJ
Enumeration date
05/10/2006
Last updated
07/21/2022
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