| Doctor Name: | GEOFFREY WILLIAM WILSON |
| NPI Number: | 1881674760 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101238779 |
| Business Practice Address: | 43 Smith Rd Nhcne Newport Ri- Anesthesiology Dept Newport, RI - 028411006 |
| Business Phone Number: | 4018414115 |
| Business Fax Number: | |
| Mailing Address: | 43 Smith Rd, Nhcne Newport Ri- Anesthesiology Dept NEWPORT |
| State: | RI |
| Postal Code: | 028411006 |
| Phone Number: | 4018414115 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2006 |
| NPI Last Update Date: | 08/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101238779 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |