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1942372230
IRA B. WILSON
PROVIDENCE, RI
NPI
1942372230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 60627)
Enumeration Date
2006-11-14
Last Update Date
2012-03-19
Business Address
-- IRA B. WILSON MD
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
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Mailing Address
-- IRA B. WILSON MD
299 CHESTNUT AVE
JAMAICA PLAIN, MA 02130-4415
Phone number: 617-522-4730
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