Wildes, Simone

Wildes, Simone is an individual health care provider with primary practice located at 2616 Hamilton Dr , Voorhees NJ 08043-2645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Wildes, Simone can be contacted via phone (856) 770-0788.

Contact Information

Primary practice address
2616 Hamilton Dr Voorhees NJ 08043-2645
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA074192 New Jersey

Profile Details

NPI number 1396781316
LBN Legal business name Wildes, Simone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396781316 NPPES
New Jersey MEDICAID 9089705

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