Wilson, Richard P

Wilson, Richard P is an individual health care provider with primary practice located at 840 Walnut St Ste 1120, Phila PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilson, Richard P can be contacted via phone (215) 928-3204.

Contact Information

Primary practice address
840 Walnut St Ste 1120 Phila PA 19107-5109
Phone: (215) 928-3204
Fax: (484) 434-2793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD017251E Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA03501600 New Jersey

Profile Details

NPI number 1932173739
LBN Legal business name Wilson, Richard P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1932173739 NPPES
New Jersey MEDICAID 3462609

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