Renee Elizabeth Wilson, PH.D.

NPI #1619205598 in Wayne, New Jersey

Provider Information

NPI Number: 1619205598
Entity Type: Individual
Name: Renee Elizabeth Wilson, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PH.D.
Enumeration Date: Dec 3, 2009
Last Updated: Dec 3, 2009

Practice Location

Address: 401 HAMBURG TPKE
Address 2: STE. 303
City: Wayne
State: New Jersey
ZIP Code: 07470
Phone: (973) 790-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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