Provider Demographics
NPI:1467497263
Name:SZETO, WILSON Y (MD)
Entity Type:Individual
Prefix:
First Name:WILSON
Middle Name:Y
Last Name:SZETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:51 N 39TH ST
Mailing Address - Street 2:SUITE 2D, PHI BLDG
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2614
Mailing Address - Country:US
Mailing Address - Phone:215-662-2286
Mailing Address - Fax:215-615-0500
Practice Address - Street 1:51 N 39TH ST
Practice Address - Street 2:SUITE 2D, PHI BLDG
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2640
Practice Address - Country:US
Practice Address - Phone:215-662-4595
Practice Address - Fax:215-243-3243
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2020-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD068160L208600000X, 208G00000X
NJ25MA09779000208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery