Wilbur Montana D.O.

NPI 1457793051 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1457793051
Gender Male
Enumeration Date 07/24/2013
Last Updated 06/15/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
452 OLD HOOK ROAD
2ND FLOOR
EMERSON NJ, 07630-1381, US
Phone (201) 666-3900
Fax (201) 261-0505
Business Location
452 OLD HOOK ROAD
2ND FLOOR
EMERSON NJ, 07630-1381, US
Phone (201) 666-3900
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Wilbur Montana D.O. NPI is 1457793051, taxonomy code is 390200000X Wilbur Montana D.O. physically located at 452 Old Hook Road, Emerson NJ, 07630-1381. NPI Number Wilbur Montana D.O. has the Individual type.

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1457793051 NPI number is provided on an as is basis without warranty of any kind. 1457793051 is maintained by the National Plan & Provider Enumeration System. The contents of Wilbur Montana D.O. are for informational purposes only.