Healthcare Provider Details

I. General information

NPI: 1275577066
Provider Name (Legal Business Name): WILLNER AND ALWEISS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ROCKWOOD PL SUITE110
ENGLEWOOD NJ
07631-4957
US

IV. Provider business mailing address

25 ROCKWOOD PL SUITE110
ENGLEWOOD NJ
07631-4957
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-5805
  • Fax: 201-894-1956
Mailing address:
  • Phone: 201-894-5805
  • Fax: 201-894-1956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH H WILLNER
Title or Position: PRESIDENT
Credential: MD
Phone: 201-894-5805