Organization · NPI-2

A.D.J. Wilson LLC

Surgery, Trauma Surgery · Fort Lee, NJ

NPI number1962237933
StatusActive
Last updated in NPPESSep 20, 2024

Details

NPI
1962237933
Entity type
Organization (NPI-2)
Legal business name
A.D.J. Wilson LLC
Organization subpart
No
Enumeration date
Sep 7, 2024
Certification date
Sep 20, 2024
Last updated
Sep 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0127X Surgery, Trauma Surgery––Yes

Practice location

132 Myrtle Ave Apt 21
Fort Lee, NJ 07024-7925

Phone 215-370-2606

Mailing address

132 Myrtle Ave Apt 21
Fort Lee, NJ 07024-7925

Phone 215-370-2606

Authorized official

Abralena De Jesus Wilson
Owner
2153702606

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery, Trauma Surgery providers in Fort Lee, NJ