Organization
W2W PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE AUTRY (PRESIDENT)
(908) 433-2208
Entity
Organization
Contact information
Practice address
900 WEST MAIN STREET, SUITE 3, FREEHOLD, NJ 07728
(732) 308-2255
(732) 394-6432
Mailing address
900 WEST MAIN STREET, SUITE 3, FREEHOLD, NJ 07728
(732) 308-2255
(732) 394-6432
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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