Individual
MR. WILLIAM WEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 LINCOLN AVE, MILLVILLE, NJ 08332-1500
(856) 765-7975
(888) 630-9378
Mailing address
4455 LINCOLN AVE, MILLVILLE, NJ 08332-1500
(856) 765-7975
(888) 630-9378
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
171W00000X
Contractor
—
NJ
172A00000X
Driver
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225388309
—
NJ
Enumeration date
03/20/2014
Last updated
03/20/2014
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