Individual
MRS. ELEANOR M VAN WYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 WERIMUS RD, WOODCLIFF LAKE, NJ 07677
(201) 214-3215
Mailing address
106 WERIMUS RD, WOODCLIFF LAKE, NJ 07677
(201) 214-3214
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
250156-1
NY
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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