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1802 W 4TH ST WILMINGTON DE 198053420
ADRIAN WILSON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1952509408. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3375637655. The primary specialty is FAMILY PRACTICE. The organization is WESTSIDE FAMILY HEALTHCARE, INC.. The address is 1802 W 4TH ST, , WILMINGTON, DE, 198053420. The zip code is 198053420.
|Nation Provider ID||1952509408|
|PAC ID by PECOS||3375637655|
|Professional Enrollment ID||I20070917000750|
|Medical School Name||PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE|
|Primary Specialty||FAMILY PRACTICE|
|All secondary specialties|
|Organization Name||WESTSIDE FAMILY HEALTHCARE, INC.|
|Group Practice PAC ID||6800706599|
|Number of Group Practice members||39|
|Address||1802 W 4TH ST, , WILMINGTON, DE, 198053420|
|Hospital affiliation LBN||CHRISTIANA CARE HEALTH SERVICES INC|