Provider Demographics
NPI:1942490776
Name:WILTON, JAMES P (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:WILTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:243 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-2099
Mailing Address - Country:US
Mailing Address - Phone:603-543-6940
Mailing Address - Fax:603-543-6950
Practice Address - Street 1:241 ELM STREET
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2099
Practice Address - Country:US
Practice Address - Phone:603-542-7666
Practice Address - Fax:603-543-9612
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0183213ES0103X
MEPOD212213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3098479Medicaid
NHT25738Medicare UPIN