Individual
JEFFREY C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 PENN AVE, SUITE 2100, WILKINSBURG, PA 15221-2148
(412) 371-1775
(412) 371-3904
Mailing address
225 PENN AVE, SUITE 2100, WILKINSBURG, PA 15221-2148
(412) 371-1775
(412) 371-3904
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD030440E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000024559
BLUE SHIELD
PA
01
—
0000024559
HIGHMARK BLUE CROSS
—
05
—
0011023000008
—
PA
01
—
1102300088
COMMUNITY CARE
—
01
—
205489
UPMC HEALTH PLAN
—
01
—
260019503
UNITED HEALTHCARE
—
Enumeration date
03/14/2006
Last updated
10/06/2008
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