Provider Demographics
NPI:1518607852
Name:HO, WILSON (MD CANDIDATE)
Entity Type:Individual
Prefix:MR
First Name:WILSON
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:MD CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 W QUEEN LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1033
Mailing Address - Country:US
Mailing Address - Phone:215-762-6915
Mailing Address - Fax:
Practice Address - Street 1:2900 W QUEEN LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1033
Practice Address - Country:US
Practice Address - Phone:215-762-6915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program