Individual
WILLIAM M MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
86 RAMAH RD, BRIDGETON, NJ 08302-6944
(609) 501-1549
Mailing address
PO BOX 64, FAIRTON, NJ 08320-0064
(609) 501-1549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN05681700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7264704
—
NJ
Enumeration date
07/07/2005
Last updated
11/04/2015
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