Individual
MR. WILLIAM E FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 PARK AVE, PATERSON, NJ 07501
(973) 321-1000
Mailing address
65 PENOBSCOT ST, CLIFTON, NJ 07013
(973) 470-9968
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00104800
NJ
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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