Individual
DR. PHILIP V ILARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 MAPLE AVE, RED BANK, NJ 07701-1734
(732) 741-1378
(732) 741-1677
Mailing address
130 MAPLE AVE, RED BANK, NJ 07701-1734
(732) 741-1378
(732) 741-1677
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA56512
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005859135
AETNA
NJ
05
—
5633605
—
NJ
Enumeration date
02/23/2006
Last updated
07/12/2007
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