National Provider Identifier
Matthew Wilson, MD
Matthew Wilson, MD is listed in the NPPES registry with a primary specialty of Student In An Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 279-4800.
Profile Overview
- NPI
- 1699798876
- Provider Type
- Individual
- Primary Specialty
- Student In An Organized Health Care Education/Training Program
- Enumeration Date
- July 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 777 Clinton Ave S
- Rochester, NY 14620-1401
Phone: (585) 279-4800
Mailing Address
- 1060 South Ave
- Rochester, NY 14620-2741
Specialties
- Student In An Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1699798876
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Matthew
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1060 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2741
- Mailing Country
- US
- Practice Street Address
- 777 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1401
- Practice Country
- US
- Practice Phone
- (585) 279-4800
- Enumeration Date
- July 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Student In An Organized Health Care Education/Training Program (390200000X)