Individual
DR. ELLIS I WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 39TH ST, UNION CITY, NJ 07087
(201) 867-5760
(201) 867-1981
Mailing address
409 39TH ST, UNION CITY, NJ 07087
(201) 867-5760
(201) 867-1981
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA50485
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3789705
—
NJ
Enumeration date
11/20/2006
Last updated
07/08/2007
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