Organization
WILLOWBROOK OBSTETRICS AND GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER P KIERCE M.D. (MANAGER)
(973) 754-4975
Entity
Organization
Contact information
Practice address
57 WILLOWBROOK BLVD, SUITE 301, WAYNE, NJ 07470-7045
(973) 754-4075
(973) 256-6523
Mailing address
57 WILLOWBROOK BLVD., SUITE 301, WAYNE, NJ 07470
(973) 754-4075
(973) 256-6523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05001400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5231507
—
NH
Enumeration date
02/20/2007
Last updated
08/22/2020
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