NPI 1134113749

Jeffrey Wilson, MD

Practitioner Family Medicine Physician Cranston, RI

Practice location

Address: 725 Reservoir Ave Suite 102, Cranston, RI 02910-4448
Phone: (401) 943-6910
Fax: (401) 946-5130
Mailing address: 70 Glen Ave, Cranston, RI 02905-3702

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 10483 (RI)

Other Family Medicine providers in Rhode Island →

Registry record

NPI: 1134113749
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2005
Record last updated: 11 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.