Willenborg, Ronald Keith

Willenborg, Ronald Keith is an sole proprietor health care provider with primary practice located at 543 Valley Rd Ste 4 , Upper Montclair NJ 07043-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Willenborg, Ronald Keith can be contacted via phone (973) 746-6466.

Contact Information

Primary practice address
543 Valley Rd Ste 4 Upper Montclair NJ 07043-1844
Phone: (973) 746-6466
Fax: (973) 746-0312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA03592100 New Jersey

Profile Details

NPI number 1801897897
LBN Legal business name Willenborg, Ronald Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Jul 14th, 2010 - about 14 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 1801897897 NPPES
New Jersey Other P3601332 OXFORD HEALTH
New Jersey MEDICAID 3213803 OXFORD HEALTH
New Jersey Other 0004574647 OXFORD HEALTH
New Jersey Other 001130735 OXFORD HEALTH
New Jersey Other 31D08 OXFORD HEALTH
New Jersey Other OK0464 OXFORD HEALTH
New Jersey Other 8971366 OXFORD HEALTH
New Jersey Other NJ3106 OXFORD HEALTH
New Jersey Other 110009806 OXFORD HEALTH
New Jersey Other J2407 OXFORD HEALTH

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