Dorian J. Wilson in Newark - Transplant Surgery

Dorian J. Wilson - NPI 1700811494

Dorian J. Wilson is a Transplant Surgery in Newark, New Jersey. Dorian J. Wilson practices all healthcare services and medical treatments related to Transplant Surgery. The NPI Number for Dorian J. Wilson is 1700811494. The last update date is 2007-07-08.

Dorian J. Wilson's current location address is 30 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720037. The mailing address for Dorian J. Wilson is 30 Bergen St, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorian J. Wilson
Address 30 Bergen St, Newark, New Jersey
Phone Number 9739720037
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700811494
Provider Enumeration Date 2006-07-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 30 Bergen St
City Newark
State New Jersey (NJ)
Post Code 71073000
Phone Number 9739720037
Fax Number

Provider's Primary Taxonomy Detail

Speciality Transplant Surgery
Taxonomy 204F00000X
Licence No 25MA04259200
Definition:
A surgeon who specializes in transplant surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2008505 NJ --

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FAQs about Dorian J. Wilson

What is the Dorian J. Wilson's 1700811494?

The Dorian J. Wilson's NPI (National Provider Identifier) Number is 1700811494. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dorian J. Wilson is located?

The Dorian J. Wilson is situated at the following address: 30 Bergen St, Newark, NJ, 71073000.

What is Dorian J. Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dorian J. Wilson is Transplant Surgery, and the taxonomy code that categorizes this field of expertise is 204F00000X.

On what date did the Dorian J. Wilson receive its 1700811494 assignment from the Centers for Medicare & Medicaid Services?

The Dorian J. Wilson was assigned its 1700811494 by the Centers for Medicare & Medicaid Services on 2006-07-11.

When was the Dorian J. Wilson's information last updated?

The Dorian J. Wilson's information was last updated on 2007-07-08.

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