Organization
KEITH WILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH WILLS (PA)
(240) 603-8583
Entity
Organization
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 845-5005
Mailing address
661 ORANGEBURGH RD, RIVERVALE, NJ 07675-6404
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25MP00243100
NJ
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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