Most Relevant Information
Provider Data
NPI Number: | 1003558966 |
Provider Name: | JOSHUA ALLEN WILSON MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/11/2022 |
Last Updated: | 04/11/2022 |
Provider Practice Location
121 DEKALB AVE
BROOKLYN
NY
112015425
Practice Location Phone/Fax
Phone: | 7182508000 |
Fax: |
Provider Mailing Location
121 DEKALB AVE
BROOKLYN
NY
112015425
Provider Mailing Phone/Fax
Phone: | 7182508000 |
Fax: |