Thomas A Wilson M.D.

NPI 1063454080 - Pediatrics - 2080P0205X

NPI Details
NPI 1063454080
Gender Male
Enumeration Date 06/12/2006
Last Updated 05/11/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
STONY BROOK UNIVERSITY HOSPITAL
STONY BROOK NY, 11794-0001, US
Phone (631) 444-3429
Fax (631) 444-6045
Business Location
P.O. BOX 1559
STONY BROOK NY, 11794-0001, US
Phone (631) 444-0650
Fax
Toxanomy
Taxonomy Code 2080P0205X
License State New York
License Number 151531
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According to our database, Dr. Thomas A Wilson M.D. NPI is 1063454080, taxonomy code is 2080P0205X and license number is 151531, license state is located at New York. Thomas A Wilson M.D. physically located at Stony Brook University Hospital, Stony Brook NY, 11794-0001. NPI Number Thomas A Wilson M.D. has the Individual type.

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1063454080 NPI number is provided on an as is basis without warranty of any kind. 1063454080 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas A Wilson M.D. are for informational purposes only.