Individual
JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1318 ASBURY AVE, ASBURY PARK, NJ 07712-5731
(732) 456-2133
Mailing address
1318 ASBURY AVE, ASBURY PARK, NJ 07712-5731
(732) 456-2133
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
NJ
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/26/2022
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