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Individual

JOHN BENJAMIN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1872 RIVERSIDE CIR, EASTON, PA 18045-5669
(484) 503-1201
Mailing address
1872 RIVERSIDE CIR, EASTON, PA 18045-5669
(484) 503-1201

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD446902
PA

Other

Enumeration date
06/01/2010
Last updated
06/26/2014
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