Individual
LAUREN WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1945 NJ-33, NEPTUNE, NJ 07753
(732) 775-5500
Mailing address
51 E END AVE, NEPTUNE CITY, NJ 07753-6208
(201) 783-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00808600
NJ
Other
Enumeration date
09/21/2023
Last updated
07/23/2026
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