Wilt, Jessie Swain

Wilt, Jessie Swain is an individual health care provider with primary practice located at 140 Park Ave , Florham Park NJ 07932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Wilt, Jessie Swain can be contacted via phone (973) 404-9930.

Contact Information

Primary practice address
140 Park Ave Florham Park NJ 07932
Phone: (973) 404-9930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 207863 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA09052000 New Jersey

Profile Details

NPI number 1386723328
LBN Legal business name Wilt, Jessie Swain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Feb 21st, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386723328 NPPES
New York MEDICAID 01959544

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