Wilson, Dorian J.

Wilson, Dorian J. is an individual health care provider with primary practice located at 30 Bergen St Admc 12 1205, Newark NJ 07107-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Wilson, Dorian J. can be contacted via phone (973) 972-0037.

Contact Information

Primary practice address
30 Bergen St Admc 12 1205 Newark NJ 07107-3000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 25MA04259200 New Jersey

Profile Details

NPI number 1700811494
LBN Legal business name Wilson, Dorian J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700811494 NPPES
New Jersey MEDICAID 2008505

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