Individual
DORIS ILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12607900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
11/18/2025
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