Individual
DR. ROBERT ANDREW DOUGLAS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06856
(203) 852-2000
Mailing address
94 TRUMAN ST, NORWALK, CT 06850-3553
(667) 231-0268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67076
CT
207RP1001X
Pulmonary Disease Physician
67076
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2016
Last updated
05/20/2022
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