Individual provider · Type 1 NPI

Wilton Fidelis, MD

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1720874381 Active

Practice location

3900 Reservoir Rd NW
Washington, DC 20007-2126

Mailing address

622 W 168th St
New York, NY 10032-3720

Other practice locations

  • 600 N Wolfe St, Baltimore, MD 21287-0005 · (410) 955-5000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720874381

Wilton Fidelis, MD's National Provider Identifier is 1720874381, issued on Apr 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Jun 17, 2026.