Individual
DAVID WILSON
Active
Individual
DAVID WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA60224
NJ
2085R0202X
Diagnostic Radiology Physician
ME161283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300107530
RAILROAD MEDICARE
NJ
Enumeration date
06/30/2006
Last updated
02/13/2024
Update your record
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