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Contact Information

PETER B WILSON, MD
100 HOSPITAL RD
SUITE 3B
LEOMINSTER, MA01453-2253
 Phone: 978-534-3179
 Fax: 978-840-3161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PETER B WILSON · (Male)

NPI # 1316943806
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 09/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 59208
  • MA Medicaid 3056783
Hospital affiliation(s)
  • HEALTHALLIANCE HOSPITALS INC - (Acute Care)
    60 HOSPITAL ROAD
    LEOMINSTER, MA 01453
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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