Individual
WILLIAM JOHN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 ROUTE 10, DENVILLE, NJ 07834-3455
(973) 442-9980
Mailing address
15 FOX RUN RD, SPARTA, NJ 07871-1785
(908) 403-2863
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA57865
NJ
207L00000X
Anesthesiology Physician
Primary
25MA05786500
NJ
Other
Enumeration date
06/22/2005
Last updated
12/16/2021
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