Jeffrey Wilson, MD
Family Medicine in Cranston, Rhode Island
1134113749- Practice location
- 725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448
- Phone
- 401-943-6910
- Fax
- 401-946-5130
- Last updated
- April 11, 2016
Jeffrey Wilson is a Family Medicine based in Cranston, RI. Jeffrey Wilson practices in Cranston, RI and has the professional credentials of MD. The NPI Number for Jeffrey Wilson is 1134113749 and holds a License No. 10483 (RI). The current practice location address for Jeffrey Wilson is 725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448 and can be reached out via phone at 401-943-6910 and via fax at 401-946-5130.
Provider Profile Details
- NPI Number
- 1134113749
- Provider Name
- Jeffrey Wilson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448
- Phone Number
- 401-943-6910
- Fax Number
- 401-946-5130
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 9, 2005
- Last Update Date
- April 11, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 725 Reservoir Ave
Suite 102
Cranston, RI 02910-4448 - City
- Cranston
- State
- Rhode Island
- Zip
- 02910-4448
- Phone Number
- 401-943-6910
- Fax Number
- 401-946-5130
Provider Business Mailing Address Details
- Address
- 70 Glen Ave
Cranston, RI 02905-3702 - City
- Cranston
- State
- RI
- Zip
- 02905-3702
- Phone Number
- 401-941-5053
License Information
- License Number
- 10483
- License State
- RI
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Cranston, RI
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Frequently Asked Questions
What is the NPI number of Jeffrey Wilson, MD?
The NPI number of Jeffrey Wilson, MD is 1134113749. It was assigned on September 9, 2005 and is currently active in the NPPES registry.
What is the specialty of Jeffrey Wilson, MD?
Jeffrey Wilson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number 10483.
Where does Jeffrey Wilson, MD practice?
The practice location is 725 Reservoir Ave, Suite 102, Cranston, RI 02910-4448. The office can be reached at 401-943-6910 (phone) or 401-946-5130 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134113749 directly on the NPPES registry website.