Individual
DR. FRANK LAWRENCE WILCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
817 E GATE DR, MOUNT LAUREL, NJ 08054-1208
(856) 778-1090
(856) 778-9191
Mailing address
148 W 2ND AVE, PINE HILL, NJ 08021-6142
(856) 627-7795
(856) 627-5547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB03495200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00169500
—
NJ
Enumeration date
11/12/2006
Last updated
07/08/2007
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