| Doctor Name: | DR. ERIC P WILSON |
| NPI Number: | 1114927597 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD050400L |
| Business Practice Address: | 292 Frantz Rd Suite 102 Stroudsburg, PA - 183608356 |
| Business Phone Number: | 5704262900 |
| Business Fax Number: | 5704262929 |
| Mailing Address: | 1259 S Cedar Crest Blvd, Suite 301 ALLENTOWN |
| State: | PA |
| Postal Code: | 181036206 |
| Phone Number: | 6104390372 |
| Fax Number: | 6104398807 |
| NPI Enumeration Date: | 07/27/2005 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | MD050400L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |