Dr. Eric P Wilson
Vascular Surgeon
600 Commerce Blvd
Stroudsburg
, Pennsylvania 18360-6214
Dr. Eric P Wilson
Vascular Surgeon
600 Commerce Blvd
Stroudsburg
, Pennsylvania 18360-6214
(610) 439-8807
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eric P Wilson
- 1259 S Cedar Crest Blvd Suite 301
- Allentown, PA
- Zip : 18103-6206
- Fax : (610) 439-8807
- Phone : (610) 439-0372
Second Address
- Dr. Eric P Wilson
- 600 Commerce Blvd
- Stroudsburg, PA
- Zip : 18360-6214
- Fax : (570) 426-2965
- Phone : (570) 426-2960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MD050400L | PA |
National Provider Identifier
| NPI | 1114927597 |
|---|---|
| Provider Name | Dr. Eric P Wilson |
| First Address | Allentown, PA 18103-6206 |
| Second Address | Stroudsburg, PA 18360-6214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2005 |
| Last Update Date | 05/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0018144070004 | (05) | PA |
| 040962PZP | MEDICARE (01) | |
| G56356 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.