Provider Demographics
NPI:1255534673
Name:VILA, MARIA NIEVES (DO)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:NIEVES
Last Name:VILA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:435 SOUTH STREET S. 160
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960
Mailing Address - Country:US
Mailing Address - Phone:973-971-4686
Mailing Address - Fax:973-290-7085
Practice Address - Street 1:435 SOUTH STREET
Practice Address - Street 2:S. 160
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960
Practice Address - Country:US
Practice Address - Phone:973-971-4686
Practice Address - Fax:973-290-7085
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014214207Q00000X
NJ25MB08243800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine