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NPI Code Detail

MEDICARE: RICHARD ALAN WILMOT MD

MEDICARE: RICHARD ALAN WILMOT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician182056-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831168277
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ALAN WILMOT MD
Provider Business Mailing Address
First Line : 2 EXECUTIVE PARK DR
Second Line :
City : ALBANY
State : NY
Zip : 12203-3700
Country : US
Telephone Number : 518-435-9831
Fax Number : 518-435-9169
Provider Business Practice Location Address
First Line : 2 EXECUTIVE PARK DR
Second Line :
City : ALBANY
State : NY
Zip : 12203-3700
Country : US
Telephone Number : 518-435-9831
Fax Number : 518-435-9169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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