Individual
DR. AVRIL D ANTHONY-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1114 GOFFLE RD, HAWTHORNE, NJ 07506-2014
(973) 423-1364
(973) 423-0980
Mailing address
1114 GOFFLE RD, HAWTHORNE, NJ 07506-2014
(973) 423-1364
(973) 423-0980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07206200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01920598
—
NY
Enumeration date
12/22/2006
Last updated
06/11/2014
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