Provider Demographics
NPI:1922092121
Name:WILKIN, DANIEL J (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:WILKIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:680 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1600
Mailing Address - Country:US
Mailing Address - Phone:201-262-0608
Mailing Address - Fax:201-262-8689
Practice Address - Street 1:680 KINDERKAMACK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1600
Practice Address - Country:US
Practice Address - Phone:201-262-0608
Practice Address - Fax:201-262-8689
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2011-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07894000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine