Individual
JOHN WICK MCILVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ST. LUKE'S COVENTRY FAMILY PRACTICE, 755 MEMORIAL PARKWAY SUITE 300, PHILLIPSBURG, NJ 08865
(908) 847-3300
(908) 847-2289
Mailing address
ST. LUKE'S COVENTRY FAMILY PRACTICE, 755 MEMORIAL PARKWAY, SUITE 300, PHILLIPSBURG, NJ 08865
(908) 847-3300
(908) 847-2289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD485947
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2021
Last updated
07/02/2024
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