Doctor Name: | MR. JOSEPH NEIL WILSON |
NPI Number: | 1003806118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 59889 |
Business Practice Address: | 42 Cape Rd Milford, MA - 017573292 |
Business Phone Number: | 5084780555 |
Business Fax Number: | 5084735088 |
Mailing Address: | 9 Industrial Rd, Suite 5 MILFORD |
State: | MA |
Postal Code: | 017573588 |
Phone Number: | 5084731480 |
Fax Number: | 5084731210 |
NPI Enumeration Date: | 10/28/2005 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 59889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |