Organization
DAVID WILD, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILD MD (PRESIDENT)
(917) 971-7602
Entity
Organization
Contact information
Practice address
344 VAN NOSTRAND AVE, ENGLEWOOD, NJ 07631-4725
(917) 971-7602
Mailing address
344 VAN NOSTRAND AVE, ENGLEWOOD, NJ 07631-4725
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08328000
NJ
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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