Michael Jeffrey Wilderman MD

NPI 1497802938 - Surgery - 2086S0129X

NPI Details
NPI 1497802938
Gender Male
Enumeration Date 01/05/2007
Last Updated 05/08/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
211 ESSEX ST
SUITE 102
HACKENSACK NJ, 07601-3231, US
Phone (201) 487-8882
Fax (201) 487-0943
Business Location
211 ESSEX ST
SUITE 102
HACKENSACK NJ, 07601-3231, US
Phone (201) 487-8882
Fax (201) 487-0943
Toxanomy
Taxonomy Code 2086S0129X
License State New Jersey
License Number 25MA08569600
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According to our database, Dr. Michael Jeffrey Wilderman MD NPI is 1497802938, taxonomy code is 2086S0129X and license number is 25MA08569600, license state is located at New Jersey. Michael Jeffrey Wilderman MD physically located at 211 Essex St, Hackensack NJ, 07601-3231. NPI Number Michael Jeffrey Wilderman MD has the Individual type.

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1497802938 NPI number is provided on an as is basis without warranty of any kind. 1497802938 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Jeffrey Wilderman MD are for informational purposes only.