Individual
JOHN WALTON SECOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 FAIRFIELD AVE, 2A, WEST CALDWELL, NJ 07006-6426
(973) 226-1230
(973) 226-1232
Mailing address
PO BOX 35088, NEWARK, NJ 07193-5088
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA05646400
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MA56464
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5070309
—
NJ
Enumeration date
12/07/2005
Last updated
03/14/2013
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