Individual
DR. WILLEM B OUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 BROADWAY, NEWARK, NJ 07104-2530
(973) 481-6057
(973) 481-0106
Mailing address
40 BROADWAY, NEWARK, NJ 07104-2530
(973) 481-6057
(973) 481-0106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA043595
NJ
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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