person
Mr. Mark Wilson
Clinic/Center in Philadelphia, Pennsylvania
NPI 1750736088

Mark Wilson is a Clinic/Center based in Philadelphia, PA. Mark Wilson practices in Philadelphia, PA. The NPI Number for Mark Wilson is 1750736088 and holds a License No. A-6418104 (Pennsylvania).

The current practice location address for Mark Wilson is 5313 Ogden St, Philadelphia, PA and can be reached out via phone at 215-600-9477 and via fax at 215-921-8499.

Location: 5313 Ogden St, Philadelphia, PA, 19139-1438
person
Provider Profile Details
NPI Number
1750736088
Provider Name
Mark Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5313 Ogden St, Philadelphia, PA, 19139-1438
Phone Number
215-600-9477
Fax Number
215-921-8499
Provider Enumeration Date
04/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5313 Ogden St
City
State
Zip
19139-1438
Phone Number
215-600-9477
Fax Number
215-921-8499
person
Provider Business Mailing Address Details
Address
5313 Ogden St
City
State
Zip
19139-1438
Phone Number
215-600-9477
Fax Number
215-921-8499
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
A-6418104 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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