Organization
PATIENT CENTERED MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD M WILSON M.D. (PHYSICIAN OWNER)
(973) 746-3400
Entity
Organization
Contact information
Practice address
54 PLYMOUTH ST, MONTCLAIR, NJ 07042-2137
(973) 746-3400
(973) 746-6214
Mailing address
54 PLYMOUTH ST, MONTCLAIR, NJ 07042-2137
(973) 746-3400
(973) 746-6214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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