Individual
JEFFREY WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D203, WEST PATERSON, NJ 07424-2559
(973) 256-6350
(973) 256-7388
Mailing address
1031 MCBRIDE AVE, SUITE D203, WEST PATERSON, NJ 07424-2559
(973) 256-6350
(973) 256-7388
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MA063604
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0376198000
AMERIHEALTH
—
01
—
223812197
HORIZON BCBS
—
01
—
2299410
GHI
—
01
—
2881489
AETNA
—
01
—
2K3839
HEALTHNET
—
01
—
31686
UNIVERSITY HEALTH PLAN
—
01
—
60000896
MHP
—
05
—
8050708
—
NJ
01
—
91000267201
AMERICHOICE
—
01
—
P2145328
OXFORD
—
Enumeration date
06/05/2006
Last updated
07/30/2010
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