IndividualActive
Robert Wilson, MD
NPI 1306880265 · Molecular Genetic Pathology (Pathology) Physician · Philadelphia, PA
Provider details
- NPI number
- 1306880265
- Entity type
- Individual
- Primary specialty
- Molecular Genetic Pathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD045632L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce Street
Philadelphia, PA 19104
Phone: (215) 662-6503
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce Street
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2011-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.