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NPI Code Detail

MEDICARE: WILLIAM M MCLEAN APN

MEDICARE:   WILLIAM M MCLEAN  APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NN05681700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558368357
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM M MCLEAN APN
Provider Business Mailing Address
First Line : PO BOX 64
Second Line :
City : FAIRTON
State : NJ
Zip : 08320-0064
Country : US
Telephone Number : 609-501-1549
Fax Number :
Provider Business Practice Location Address
First Line : 86 RAMAH RD
Second Line :
City : BRIDGETON
State : NJ
Zip : 08302-6944
Country : US
Telephone Number : 609-501-1549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 11/04/2015

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Directions to “ WILLIAM M MCLEAN APN” Practice Location

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