Provider Demographics
NPI:1578324992
Name:WILKERSON & COMPANY LLC
Entity Type:Organization
Organization Name:WILKERSON & COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKERSON-HOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:201-706-1511
Mailing Address - Street 1:42 TWIG LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-3861
Mailing Address - Country:US
Mailing Address - Phone:201-706-1511
Mailing Address - Fax:
Practice Address - Street 1:774 EAYRESTOWN RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-3100
Practice Address - Country:US
Practice Address - Phone:201-706-1511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty