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Jefferson Wilson
Specialist in Philadelphia, Pennsylvania
NPI 1821464645

Jefferson Wilson is a Specialist based in Philadelphia, PA. Jefferson Wilson practices in Philadelphia, PA. The NPI Number for Jefferson Wilson is 1821464645 and holds a License No. MD454836 (Pennsylvania).

The current practice location address for Jefferson Wilson is 909 Walnut St, Philadelphia, PA and can be reached out via phone at 215-601-8976.

Location: 909 Walnut St, Philadelphia, PA, 19107-5211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821464645
Provider Name
Jefferson Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
909 Walnut St, Philadelphia, PA, 19107-5211
Phone Number
215-601-8976
Fax Number
Provider Enumeration Date
08/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
909 Walnut St
City
Philadelphia
State
Pennsylvania
Zip
19107-5211
Phone Number
215-601-8976
Fax Number
person
Provider Business Mailing Address Details
Address
909 Walnut St
City
Philadelphia
State
Pennsylvania
Zip
19107-5211
Phone Number
215-601-8976
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD454836 (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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