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
Phone: (978) 534-3179
Fax: (978) 840-3161
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316943806 | NPPES |
Massachusetts | MEDICAID | 3056783 |
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