MEDICARE: WILPAGE INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

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

General Provider Information

NPI Number	:	1952304008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILPAGE INC.

Provider Business Mailing Address
First Line	:	PO BOX 37
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07507-0037
Country	:	US
Telephone Number	:	973-423-4100
Fax Number	:	973-423-0715

Provider Business Practice Location Address
First Line	:	146 GENEVIEVE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-2332
Country	:	US
Telephone Number	:	973-423-4100
Fax Number	:	973-423-0715

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. SYLVESTER ABRUZZO JR.
Credential	:
Telephone Number	:	973-835-4716

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/19/2013

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