Wilson, John J

Wilson, John J is an individual health care provider with primary practice located at 200 Bowman Drive Ste 190, Voorhees Township NJ 08043-9634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Wilson, John J can be contacted via phone (609) 261-7074.

Contact Information

Primary practice address
200 Bowman Drive Ste 190 Voorhees Township NJ 08043-9634
Phone: (609) 261-7074
Fax: (856) 247-7331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD422915 Pennsylvania
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA08052600 New Jersey

Profile Details

NPI number 1902855455
LBN Legal business name Wilson, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 21st, 2022 - about 4 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 1902855455 NPPES
New Jersey MEDICAID 0128244

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