Wilson, Bruce Leonard
Wilson, Bruce Leonard is an individual health care provider with primary practice located at 2073 Klockner Raod , Hamilton NJ 08690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wilson, Bruce Leonard can be contacted via phone (609) 584-1212.Contact Information
Primary practice address
2073 Klockner Raod
Hamilton NJ 08690
Phone: (609) 584-1212
Fax: (609) 584-0103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA09945200 | New Jersey |
Profile Details
| NPI number | 1457667487 |
|---|---|
| LBN Legal business name | Wilson, Bruce Leonard |
| Credentials | M.D., M.S.P.H |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2010 |
| Last updated | Oct 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457667487 | NPPES |
| New Jersey | Other | 22-3052989 | TAX ID# |
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