Elizabeth M Wilson | New Haven, CT • PECOS Search

Elizabeth M Wilson

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

77 Livingston St, New Haven, CT 06511

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth M Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1326070756
Provider Type
Individual
Full Name
Wilson, Elizabeth M
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2006
Last Updated
7/8/2007

Contact Information

Practice Location

77 Livingston St, New Haven, CT 06511

Unlisted Fax

Mailing Location

77 Livingston St, New Haven, CT 06511

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 030927 Connecticut