| John J Wilkins,d.o.,p.a. | |
|
239 Taunton Blvd A-2 Medford NJ 08055-3471 | |
| (856) 983-5551 | |
| (856) 983-1511 |
| Full Name | John J Wilkins,d.o.,p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 239 Taunton Blvd, Medford, New Jersey |
| Authorized Official Name and Position | John Wilkins (PRESIDENT) |
| Authorized Official Contact | 8569835551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Wilkins,d.o.,p.a. 239 Taunton Blvd A-2 Medford NJ 08055-3471 Ph: (856) 983-5551 | John J Wilkins,d.o.,p.a. 239 Taunton Blvd A-2 Medford NJ 08055-3471 Ph: (856) 983-5551 |
| NPI Number | 1447513106 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Medicare PECOS PAC ID | 8325203094 |
|---|---|
| Medicare Enrollment ID | O20120702000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447513106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MB05076500 (New Jersey) | Primary |
| Provider Name | John Wilkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154438786 PECOS PAC ID: 2668420506 Enrollment ID: I20050107000443 |
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