Organization
PRISCILLA G. ILEM, MD, MPH, LLC
Active
Parent organization
PRISCILLA G. ILEM, MD, MPH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRISCILLA G. ILEM, MD, MPH, LLC
Authorized official
DR. PRISCILLA G ILEM (PSYCHIATRIST)
(973) 628-1017
Entity
Organization
Contact information
Practice address
782 ALPS ROAD, WAYNE, NJ 07470-3920
(973) 628-1017
(973) 694-1362
Mailing address
782 ALPS ROAD, WAYNE, NJ 07470-3920
(973) 628-1017
(973) 694-1362
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA0235250
NJ
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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