Individual
KELLY MARIE WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1925 PACIFIC AVE, TRAUMA DEPARTMENT, ATLANTIC CITY, NJ 08401-6713
(609) 441-8023
(609) 441-8178
Mailing address
1925 PACIFIC AVE, TRAUMA DEPARTMENT, ATLANTIC CITY, NJ 08401-6713
(609) 441-8023
(609) 441-8178
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
25MA09130300
NJ
Other
Enumeration date
06/12/2008
Last updated
03/28/2014
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