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Individual
DR. RONALD KEITH WILLENBORG
Active
Individual
DR. RONALD KEITH WILLENBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03592100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004574647
AETNA
NJ
01
—
001130735
UNITED HEALTHCARE
NJ
01
—
110009806
RAILROAD MEDICARE
—
01
—
31D08
EMPIRE BLUE SHIELD
NY
05
—
3213803
—
NJ
01
—
8971366
CIGNA
NJ
01
—
J2407
HORIZON BLUE CROSS/SHIELD
NJ
01
—
NJ3106
FIRST HEALTH
NJ
01
—
OK0464
HEALTH NET
NJ
01
—
P3601332
OXFORD HEALTH
NJ
Enumeration date
08/02/2005
Last updated
07/14/2010
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