Paul M. Wilson, M.d., P.c. | |
4710 Auth Pl Suite #595 Suitland MD 20746-4223 | |
(301) 899-0373 | |
(301) 899-0375 |
Full Name | Paul M. Wilson, M.d., P.c. |
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Speciality | Family Medicine |
Location | 4710 Auth Pl, Suitland, Maryland |
Authorized Official Name and Position | Paul Michael Wilson (PRESIDENT/CEO) |
Authorized Official Contact | 3018990373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Paul M. Wilson, M.d., P.c. 4710 Auth Pl Suite #595 Suitland MD 20746-4223 Ph: (301) 899-0373 | Paul M. Wilson, M.d., P.c. 4710 Auth Pl Suite #595 Suitland MD 20746-4223 Ph: (301) 899-0373 |
NPI Number | 1912098823 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912098823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D41276 (Maryland) | Primary |
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