Individual
DR. SAMUEL WILCHFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 S HARRISON ST, EAST ORANGE, NJ 07018-1960
(973) 678-8839
Mailing address
125 MADISON AVE, ENGLEWOOD, NJ 07631-4322
(201) 568-6130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NJ 038874
NJ
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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