Wilson, Robert B

Wilson, Robert B is an individual health care provider with primary practice located at 3400 Spruce Street , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, which is considered as his primary health care specialty. Wilson, Robert B can be contacted via phone (215) 662-6503.

Contact Information

Primary practice address
3400 Spruce Street Philadelphia PA 19104
Phone: (215) 662-6503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X MD045632L Pennsylvania

Profile Details

NPI number 1306880265
LBN Legal business name Wilson, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 13th, 2011 - about 13 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 1306880265 NPPES
Pennsylvania MEDICAID 0015675670001

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