Provider Demographics
NPI:1568752392
Name:WILSON, MATTHEW STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEVEN
Last Name:WILSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:834 CHESTNUT STREET, SUITE G-114
Mailing Address - Street 2:THE PHILADELPHIA HAND CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-521-3012
Mailing Address - Fax:215-521-3002
Practice Address - Street 1:834 CHESTNUT STREET, SUITE G-114
Practice Address - Street 2:THE PHILADELPHIA HAND CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-521-3012
Practice Address - Fax:215-521-3002
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2016-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC172802207X00000X
PAMD457056207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery