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Individual

MS. EILEEN P. WILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICAN ASSISTANT

Contact information

Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7151
Mailing address
218 ARROWOOD WAY, BASKING RIDGE, NJ 07920-3174
(973) 676-1000
(973) 395-7151

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007351
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007351
NEW YORK PA LICENSE
NY
01
1043401
NCCPA-NATIONAL CERT.
Enumeration date
08/08/2006
Last updated
07/08/2007
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