Individual
DR. THOMAS WILLIAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 WOODBINE LANE, DANVILLE, PA 17821-8029
(570) 271-6531
(570) 271-7146
Mailing address
100 N ACADEMY AVE # 4903, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD049787L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015265000003
—
PA
05
—
01736281
—
NY
01
—
GU039847
PA MEDICARE GROUP
PA
Enumeration date
02/28/2006
Last updated
03/12/2025
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