Whalio Doctors

NPI 1467517334

Avril D Anthony-Wilson, MD

Practitioner Family Medicine Physician Hawthorne, NJ

Practice location

Address
1114 Goffle Rd, Hawthorne, NJ 07506-2014
Phone
(973) 423-1364
Fax
(973) 423-0980

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA07206200 (NJ)

Registry record

NPI
1467517334
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Dec 2006
Record last updated
11 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.