Individual
VASTHI C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 BROAD ST STE B120, BLOOMFIELD, NJ 07003-3059
(973) 873-7000
(973) 743-8943
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA08489700
NJ
Other
Enumeration date
12/28/2006
Last updated
05/24/2023
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