Wilgucki, John D

Wilgucki, John D is an sole proprietor health care provider with primary practice located at 1500 Saint Georges Ave Unit D, Avenel NJ 07001-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wilgucki, John D can be contacted via phone (732) 388-3030.

Contact Information

Primary practice address
1500 Saint Georges Ave Unit D Avenel NJ 07001-1000
Phone: (732) 388-3030
Fax: (732) 388-3528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MB56000 New Jersey

Profile Details

NPI number 1457418642
LBN Legal business name Wilgucki, John D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Dec 14th, 2007 - about 18 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 1457418642 NPPES
Other 123015 AETNA PROVIDER NUMBER
MEDICAID 5805802 AETNA PROVIDER NUMBER

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