Wilson, Peter B.

Wilson, Peter B. is an individual health care provider with primary practice located at 100 Hospital Rd Suite 3B, Leominster MA 01453-2253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wilson, Peter B. can be contacted via phone (978) 534-3179.

Contact Information

Primary practice address
100 Hospital Rd Suite 3B Leominster MA 01453-2253
Fax: (978) 840-3161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 59208 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 59208 Massachusetts

Profile Details

NPI number 1316943806
LBN Legal business name Wilson, Peter B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 4th, 2013 - about 11 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 1316943806 NPPES
Massachusetts MEDICAID 3056783

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