# KEITH WILLS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306153010
- **Authorized official:** KEITH WILLS (PA)
- **Authorized official phone:** (240) 603-8583

## Contact information

- **Practice address:** 7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
- **Practice address phone:** (201) 845-5005
- **Mailing address:** 661 ORANGEBURGH RD, RIVERVALE, NJ 07675-6404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 25MP00243100 | NJ | Yes |

## Other

- **Enumeration date:** 09/02/2010
- **Last updated:** 09/02/2010