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Contact Information

WILLIAM R WILSON JR, MD
333 BORTHWICK AVE
STE 402
PORTSMOUTH, NH03801-7128
 Phone: 603-559-4111
 Fax: 603-559-4110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for WILLIAM R WILSON JR · (Male)

NPI Number 1245203629
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E4575
  • NH License # 14182
  • OH License # 35.061928
  • NH Medicaid 3099751
Hospital affiliation(s)
  • PORTSMOUTH REGIONAL HOSPITAL - (Acute Care)
    333 BORTHWICK AVE
    PORTSMOUTH, NH 03801
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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