Rodgers M Wilson in Philadelphia - Psychiatry
Rodgers M Wilson - NPI 1891745931
Rodgers M Wilson is a Psychiatry in Philadelphia, Pennsylvania. Rodgers M Wilson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Rodgers M Wilson is 1891745931. The last update date is 2012-05-08.
Rodgers M Wilson's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158314600 and fax number 2158316984. The mailing address for Rodgers M Wilson is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodgers M Wilson |
|---|---|
| Address | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2158314600 |
| Fax Number | 2158316984 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891745931 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2012-05-08 |
Provider Mailing Address Detail
| Address | 4641 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191242343 |
| Phone Number | 2158314600 |
| Fax Number | 2158316984 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD424283 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101127811-001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Rodgers M Wilson by the Centers for Medicare & Medicaid Services?
The Rodgers M Wilson has been assigned the NPI (National Provider Identifier) 1891745931 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Rodgers M Wilson?
The Rodgers M Wilson is physically situated at 4641 Roosevelt Blvd, in the city of Philadelphia, state of PA, with the postal code 191242343.
What is the Rodgers M Wilson's specialty and taxonomy code?
The Rodgers M Wilson's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Rodgers M Wilson receive the assignment of its 1891745931 from the Centers for Medicare & Medicaid Services?
The Rodgers M Wilson was issued its 1891745931 by the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the Rodgers M Wilson's information last updated?
The Rodgers M Wilson's information was last updated on 2012-05-08.