Healthcare Provider Details

I. General information

NPI: 1942490776
Provider Name (Legal Business Name): JAMES P WILTON DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S MAIN ST STE H
WOLFEBORO NH
03894-4664
US

IV. Provider business mailing address

240 S MAIN ST
WOLFEBORO NH
03894-4664
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-7690
  • Fax: 603-569-7664
Mailing address:
  • Phone: 603-569-7690
  • Fax: 603-569-7664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD212
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0183
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: