Individual
MR. NICHOLAS WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(862) 228-0395
(201) 797-5025
Mailing address
1480 US HIGHWAY 46, APT. 178B, PARSIPPANY, NJ 07054-5910
(862) 228-0395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NJ
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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