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LARRY A WILSON MD NPI 1629062211


NPI Information

NPI: 1629062211
Provider Name: LARRY A WILSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4924 CAMPBELL BLVD
BALTIMORE, MD
ZIP 21236
Phone: (443) 461-1997
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Larry A Wilson, MD is a family medicine in Baltimore, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Larry A Wilson, MD NPI is 1629062211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4924 CAMPBELL BLVD
BALTIMORE, MD
ZIP 21236-908
Phone: (443) 461-1997

The enumeration date for this NPI number is 9/9/2005 and was last updated on 3/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineD26253MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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